About 10-20% of patients dying suddenly or resuscitated from ventricular fi
brillation do not have demonstrable heart disease. These people are often y
oung and tragically in some cases sudden death is the first and only clinic
al event. One of the three main electrophysiological diagnoses to be consid
ered in these situations is the Brugada syndrome. A case of Brugada syndrom
e is described, together with an example of the classic electrocardiographi
c manifestations and a discussion of the possible aetiology, diagnosis and
management of this condition.