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8 Min Read

onDecember 5, 2019

A young F is hyperthermic, delirious, and dry: Fever-induced Brugada? Diphenhydramine toxicity? Tricyclic?

Case 1. A 30-something with no medical history presented with 1 day of high temperature and delirium. Her temperature was 106 degrees.…

5 Min Read

Steve Smith

onNovember 28, 2018

Saddleback ST Elevation. Is it STEMI? Is it type II Brugada?

A 50-something presented with epigastric and chest pain. Here is his ECG: What do you think? QTc 388 ms. Computer interpretation: SINUS…

2 Min Read

Steve Smith

onOctober 26, 2016

RSR’ with ST elevation: is this Right Bundle Branch Block with STEMI? Type 2 Brugada?

This case was contributed by Brooks Walsh, an ECG enthusiast who has contributed frequently, and edited by Smith A very healthy 40 year-old…

4 Min Read

Steve Smith

onAugust 9, 2015

This ECG is NOT Pathognomonic of Brugada Syndrome

This was contributed by a friend and colleague from a Yale affiliated hospital, Brooks Walsh. Here is Brooks’ case I had a great…

1 Min Read

Steve Smith

onApril 25, 2015

Syncope and a Possible Type 2 Brugada Morphology

A young man had 10 seconds of syncope without a prodrome. He had had it once before. Exam was normal. This ECG was recorded: There…

9 Min Read

Steve Smith

onMarch 26, 2015

Is this Type 2 Brugada syndrome/ECG pattern?

Introduction Types 2 and 3 Brugada have been merged into Type 2. The diagnoses have been perplexing for years because they have been…

2 Min Read

Steve Smith

onMay 28, 2013

Brugada pattern induced by tricyclic antidepressant

A 31 year old male presented obtunded after a suspected intentional overdose with amitryptiline. He was intubated, and this ECG was…

7 Min Read

Jesse McLaren

onNovember 11, 2025

Chest pain, serial ECGs STEMI negative, first troponin normal: cancel cath lab activation? Exemplary care by an emergency physician!

Submitted by Matthew McArthur, recent emergency physician graduate and regular reader of Dr. Smith’s ECG Blog, ECG Cases, and ECGweekly…

10 Min Read

Magnus Nossen

onAugust 8, 2025

A 35-year old woman with this post-ROSC ECG. What does “shark fin” morphology mean?

Written by Magnus Nossen. The patient in today’s case is a 35-year-old overweight female. She experienced sudden onset chest pain and…

3 Min Read

Pendell Meyers

onJuly 14, 2025

Chest pain and nausea with a diagnostic ECG

Written by Pendell Meyers, sent by anonymous A man in his 40s called EMS for acute symptoms including chest pain, abdominal pain, nausea, and…

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Search Results: brugada

A young F is hyperthermic, delirious, and dry: Fever-induced Brugada? Diphenhydramine toxicity? Tricyclic?

Saddleback ST Elevation. Is it STEMI? Is it type II Brugada?

RSR’ with ST elevation: is this Right Bundle Branch Block with STEMI? Type 2 Brugada?

This ECG is NOT Pathognomonic of Brugada Syndrome

Syncope and a Possible Type 2 Brugada Morphology

Is this Type 2 Brugada syndrome/ECG pattern?

Brugada pattern induced by tricyclic antidepressant

Chest pain, serial ECGs STEMI negative, first troponin normal: cancel cath lab activation? Exemplary care by an emergency physician!

A 35-year old woman with this post-ROSC ECG. What does “shark fin” morphology mean?

Chest pain and nausea with a diagnostic ECG