This patient is a 50-year-old man. His brother was diagnosed with epilepsy and died during a seizure at the age of 21.

Parts of the following text I have taken over from Dawn`s explanation on Brugada pattern/Brugada syndrome:

This ECG shows a “classic” Brugada pattern. Brugada Syndrome is a hereditary disease that is associated with a high risk of sudden cardiac death. It is due to a mutation in the sodium channel gene (channelopathy).

The ECG characteristics are:      ST elevation in V1 through V3 of at least 2 mm at the J point in the right precordial leads (V1-V3).

·    Coved upward ST segments with  negative T waves in the affected leads.

    Brugada Syndrome is diagnosed when the ECG pattern exists with one of the following:

·     Polymorphic ventricular tachycardia (VT) or ventricular fibrillation.

    We can assume that his brother had the same disease (undiagnosed) and died from Brugada Syndrome.