Brugada ST elevation masquerading as ST elevation myocardial infarction.

Brugada syndrome (BS) is a genetic cardiac syndrome first described in 1992 that is characterized by distinct abnormalities noted in leads V1 and V2 on electrocardiogram. It often leads to syncope or even sudden death in affected patients due to its propensity for ventricular tachycardia and fibrillation. The characteristic ST elevation seen in these patients can be confused with ischemic ST elevation. We present a case where a febrile illness unmasked BS and the ST changes seen were believed to be ischemic.