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Abdallah Othman on Instagram: "Brugada Syndrome: Clinical Guide 📉 ECG Diagnosis (V1-V2, 2nd-4th ICS) • Type 1 (Diagnostic): ≥2mm coved ST elevation → downsloping segment → inverted T-wave. May be unmasked by fever or sodium channel blockers. • Type 2/3 (Non-Diagnostic): Saddleback ST elevation. Requires clinical correlation. • Hallmark: Pseudo-RBBB pattern without true conduction delay. ⚠️ Risk Stratification (2022 ESC Guidelines) ICD Recommended: • Secondary Prevention: After aborted SCA or su
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Abdallah Othman on Instagram: "Brugada Syndrome: Clinical Guide 📉 ECG Diagnosis (V1-V2, 2nd-4th ICS) • Type 1 (Diagnostic): ≥2mm coved ST elevation → downsloping segment → inverted T-wave. May be unmasked by fever or sodium channel blockers. • Type 2/3 (Non-Diagnostic): Saddleback ST elevation. Requires clinical correlation. • Hallmark: Pseudo-RBBB pattern without true conduction delay. ⚠️ Risk Stratification (2022 ESC Guidelines) ICD Recommended: • Secondary Prevention: After aborted SCA or su
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Abdallah Othman on Instagram: "🎯📉High-Risk ECG Markers in Brugada Syndrome (BrS) This visual guide summarizes key electrocardiographic signs beyond the diagnostic Type 1 Brugada pattern that are associated with increased risk for sudden cardiac death. · The definitive Type 1 (coved) ST-segment elevation in V1-V2. · Electrical instability markers: Atrial fibrillation, AV block, QRS fragmentation, and T-wave alternans. · Specific repolarization abnormalities: including the Tzou criteria and R-wa
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Abdallah Othman on Instagram: "Brugada Syndrome: Quick Clinical Guide ECG Patterns (V1–V2, 2nd/3rd ICS) 📉 🔹 Type 1 (Diagnostic): ≥2 mm coved ST elevation, downsloping ST segment, inverted T-wave. 🔹 Type 2: ≥2 mm saddleback ST elevation, upright/biphasic T-wave. 🔹 Dynamic changes: Fever/ajmaline can unmask Type 1. 🔹 Pseudo-RBBB (no true conduction delay). --- Diagnosis: Shanghai Score 2020 📋 ✅ Score ≥3.5 confirms BrS: - +3.5: Spontaneous/drug-induced Type 1 ECG. - +2: Family SCD
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Instagramabdullah_89othman
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