Reproduction of typical electrocardiographic findings of the Brugada syndrome using modified precordial leads.

We present a case of a patient with Brugada syndrome and aborted sudden cardiac death in whom the typical Brugada sign (coved-type ST segment elevation in the precordial leads V1 through V3) was always reproduced by the precordial leads recording on the second intercostal space even after the typical sign had disappeared. The finding indicates that recordings of precordial leads on the higher intercostal spaces are important to unmask the ST elevation in suspected patients with Brugada syndrome.