Brugada syndrome

Also called Brugada pattern

Brugada syndrome is a rare condition, often inherited, that affects the electrical signals in the heart. Many people have no symptoms, but it can cause sudden dangerous heart rhythms, which may lead to fainting or, rarely, cardiac arrest. It is often found on an ECG or after a relative is diagnosed.

Last updated Nov 9, 2026

What it is

Fever, some medicines, alcohol and large meals can set off abnormal rhythms, so fever is treated promptly and certain medicines are avoided.

People at higher risk may be offered an implantable cardioverter defibrillator (ICD). Close relatives are usually offered testing.

Common signs

  • Often no symptoms
  • Fainting, especially at rest, during sleep or with fever
  • Palpitations
  • Gasping breaths at night

How it is usually diagnosed

  • ECG
  • A drug challenge test in hospital to reveal the pattern
  • Genetic testing
  • Heart monitoring

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • ECG reports
  • Drug challenge and genetic test results
  • ICD details and check reports
  • A list of medicines to avoid

Questions to ask your doctor

  • What is my risk, and do I need an ICD?
  • Which medicines should I avoid?
  • Which relatives should be tested?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Fainting, especially during a fever: call 112
  • If someone collapses and is not breathing normally, call 112 and start CPR

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources