What to Avoid and How to Manage Brugada ECG Pattern

Brugada ECG pattern calls for a defined set of avoidances and precautions. A structured evidence-based protocol specifies which drugs and substances must be avoided, and how specific triggers — including fever — should be addressed.

The protocol applies to all patients identified with Brugada ECG pattern and covers the core preventive and symptomatic measures recommended across this population.

Approach Overview

Management centres on avoiding specific drugs and recreational substances known to be associated with triggering the characteristic ECG pattern, along with targeted measures for fever. The complete structured regimen — including the full avoidance lists, clinical decision points, and additional guidance — is available in the full protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1093/eurheartj/ehac262

The following is recommended in all patients with BrS:

(a) Avoidance of drugs that may induce ST-segment elevation in right precordial leads (http://www.brugadadrugs.org).
(b) Avoidance of cocaine, cannabis, and excessive alcohol intake.
(c) Treatment of fever with antipyretic drugs.

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