An Asymptomatic Case With ECG Findings of the Brugada Syndrome: What Should/Could Be Done?

A 52-year-old man who had an acute abdeminal pain was hospitalized and treated at the department of general surgery with the diagnosis of "acute cholecystitis". His ECGs, recorded during his first admission in the emergency service, was evaluated retrospectively for a study project_ An incomplete right bundle-branch block and ST segment elevation in V ı-3 leads were found. The patient underwent a detailed investigation considering a possible diagnosis of the Brugada syndrome. No change was observed in the ECG f indings during the provocation test with propafenone infusion and no ventricular tachycardia was induced during electrophysiological study. There were no similar find ings in the ECGs of the family members. This case is reported because of the rarity of the Brugada syndrome, and the possible diagnostic investigations in asymptomatic cases with the ECG findings of th is rare elinical situation were discussed. Key words: