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. 2023 Sep 30;11(10):e8005. doi: 10.1002/ccr3.8005
Points
I. ECG (12‐lead/ambulatory)
A. Spontaneous type 1 Brugada ECG pattern at nominal or high leads 3.5
B. Fever‐induced type 1 Brugada ECG pattern at nominal or high leads 3
C. Type 2 or 3 Brugada ECG pattern that converts with provocative drug challenge 2
*Only award points once for the highest score within this category. One item from this category must apply.
II. Clinical history*
A. Unexplained cardiac arrest or documented VF/ polymorphic VT 3
B. Nocturnal agonal respirations 2
C. Suspected arrhythmic syncope 2
D. Syncope of unclear mechanism/unclear etiology 1
E. Atrial flutter/fibrillation in patients <30 years without alternative etiology 0.5
*Only award points once for the highest score within this category.
III. Family history
A. First‐ or second‐degree relative with definite BrS 2
B. Suspicious SCD (fever, nocturnal, Brugada aggravating drugs) in a first‐ or second‐degree relative 1
C. Unexplained SCD <45 years in first‐ or second‐degree relative with negative autopsy 0.5
*Only award points once for the highest score within this category.
IV. Genetic test result
A. Probable pathogenic mutation in BrS susceptibility gene 0.5
Score (requires at least 1 ECG finding)
≥3.5 points: Probable/definite BrS
2–3 points: Possible BrS
<2 points: non‐diagnostic

Abbreviations: BrS, Brugada syndrome; SCD, sudden cardiac death; VF, ventricular fibrillation; VT, ventricular tachycardia.