The ECG shown on page 13 (ECG 15.1) is from a 36-year-old male patient who presented with syncope.

a)    Describe the abnormalities. (20% marks)

b)    What is the likely diagnosis? (10% marks)

c)    What is the treatment for this condition? (5% marks)


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College answer

a)    Incomplete RBBB and ST elevation in anterior leads
b)    Brugada syndrome
c)    AICD


This image was stolen from LITFL, where the examiners also shop for their ECGs. There is no evidence of an AICD in the image (as that was hard to find). The ECG demonstrates the classic "coved ST segment elevation" in V1-V3,  followed by a negative T wave.