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This is the 14th installment of my ECG Video Blog. This 29-minute video reviews Recognition of Type-1 and Type-2 (Saddleback) Brugada ECG Patterns, with essentials of management for the non-cardiologist. There is focus on distinction from the right bundle branch block and normal variant patterns, with suggestions on when to refer.
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NOTE: There are advantages to using a video format format. These include:
- Ability to illustrate concepts not done full justice by the written word.
- Greater dispersion of my content through Google & YouTube. This material is free for anyone to use.
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LINKS to my ECG Video-Blog installments:
- ECG Video-Blog #1-Revised (= Blog #95) — Is there AV Block?
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- ECG Video-Blog #2 (= Blog #96) — Bundle Branch Blocks
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- ECG Video-Blog #3 (= Blog #97) — SVT with marked ST Depression
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- ECG Video-Blog #4 (= Blog #98) — Clinical Arrhythmia Mgmt (Part I )
- ECG Video-Blog #5 (= Blog #99) — Clinical Arrhythmia Mgmt (Part 2 )
- ECG Video-Blog #6 (= Blog #100) — Clinical Arrhythmia Mgmt (Part 3 )
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- ECG Video-Blog #7 (= Blog #101) — Wide Tachycardia + Chest Pain
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- ECG Video-Blog #8 ( = Blog #105) — Basics of AV Block
- ECG Video-Blog #9 ( = Blog #110) — Complete AV Block? / Laddergrams
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- ECG Video-Blogs #10,11,12 ( = Blog #113) — Rhythm Diagnosis Basics
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- ECG Video-Blog #13 ( = Blog #116) — Essentials of Axis / Hemiblocks
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- ECG Video-Blog #14 ( = Blog #117) — Brugada Syndrome
- Easy YouTube Link for AV Block (www.brugadaecg.com)
- Click Here for Timed Contents to the Brugada Syndrome Video!
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- ECG Video-Blog #15 ( = Blog #118) — QRST Changes
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- ECG Video-Blog #16 ( = Blog #120) — Giant T Waves
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My goal in this 29-minute video is to simplify recognition of Brugada ECG Patterns (Type-1 and Type-2) in a user-friendly approach based on current literature.
- Key Points for recognition of Brugada-1 and Brugada-2 ECG Patterns are shown in Figure-1 below — taken from our Video discussion. (These points are summarized at Minute 19:15 in the Video).
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| Figure-1: 12-lead ECG from an asymptomatic young adult who had this tracing done as part of a sports pre-participation exam. Should the patient be cleared to participate in vigorous athletic activity? Or — Is there a Brugada-1 pattern in lead V1 and/or a Brugada-2 (Saddleback) pattern in lead V2? Schematic illustrations below highlight key recognition points for Brugada-1 Pattern (downsloping ST segment still elevated above baseline at 80 msec. after the r' peak) — and — Brugada-2 Pattern (wide ß-angle, as defined by a triangle base of ≥4 mm after dropping a 5mm vertical line from the r' peak — and after following the slope of the downsloping ST segment after the r' wave). NOTE — Enlarge by clicking on Figures — Right-Click to open in a separate window. |
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GO TO — https://youtu.be/h1MhtLMF-7M — on YouTube to view this ECG Video (29 minutes). The "Easy" Link = www.brugadaecg.com -
- Click Here — for a Timed CONTENTS of Video-Blog #14 on Brugada Syndrome.
- Please also see our ECG Blog #50 and the pdf from Section 05.33 (from our ECG-2014-ePub) — for more on Brugada Syndrome.
- Please also check out my ECG Video Blog page on Google. The link is easy to remember = www.videoecg.com -
NOTE: For a Power Point Show (.ppsx) version of my Video Blogs - CLICK HERE. This folder will contain links to download a .ppsx version that allows faster viewing:
- Download the .ppsx to your computer desktop.
- The PPT show is without automatic sound. YOU activate only the Audio clips you want.
- Hover your mouse over the highlighted Audio. You may play and/or pause if/as you like.
- Feel free to use this .ppsx for teaching with my blessings!
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