Fig. 2.

In a 45-year-old patient from Ivory Coast, syncope while eating was managed in ICU. ECGs show spontaneous coved-type BrS patterns in the right precordial leads (M, N). Further, the patient experienced arrhythmic storms treated by quinidine hydrochloride in the setting of implantation of an ICD. Stored electrograms show several episodes of VF (O). The patient was managed in France, his older brother died suddenly in Ivory Coast at age 45 years and the death was attributed to witchcraft. ICU: intensive care unit, ECG: electrocardiogram, BrS: Brugada syndrome, VF= ventricular fibrillation.