Cardiac Channelopathies in the Pediatric Patient: Brugada Syndrome.

In the pediatric cardiology clinic, Brugada syndrome (BrS) most commonly presents through cascade screening following the diagnosis of a parent or sibling. However, some children may present for evaluation of syncope, or with documented atrial or ventricular arrhythmias. Unlike in adults, pediatric patients are frequently asymptomatic and require individualized risk stratification based on electrocardiogram findings, clinical history, and genetic data. The cardiology outpatient setting plays a pivotal role in guiding longitudinal care, including anticipatory counseling and decisions regarding rhythm monitoring or device implantation. This article offers a practical framework for managing BrS in children and adolescents from a clinical perspective.