Table 1: ECG, Clinical and Genetic Features of Brugada Syndrome and Early Repolarisation Syndrome.
| Brugada Syndrome | ER Syndrome | |
| ECG Features | ||
| Diagnostic pattern | Type 1 ECG* | ER pattern¥ |
| Additional ECG abnormalities | Type 2 ECG**, type 3*** ECG, ER pattern¥, f-QRS§ | - |
| Dynamicity of ECG pattern over time | Yes | Yes |
| Induction of ECG pattern by sodium channel blockers | Yes | No |
| Vagal-mediated accentuation of ECG pattern | Yes | Yes |
| Age-dependent manifestation of ECG pattern | Yes | Unknown |
| Clinical Features | ||
| Male predominance | Yes | Yes |
| Mean age of first arrhythmic event | 35–40 | 35–40 |
| Prognostic value of VA inducibility at EP study | Controversial | No |
| Circumstances of arrhythmic episodes | Rest/sleep/fever | Rest |
| Genetic Features | ||
| Inheritance | Autosomal dominant | Autosomal dominant |
| Sporadic cases | Yes | Yes |
| Association with extra-cardiac diseases | Yes (myopathies) | Not established |
| Gene mutations | SCN5A, KNCJ8, CACNA1C, CACNA2D1, CACNB2b, ABCC9, SCN10A, GpD1L, SCN1B, KCNE3, SCN3B, KCND3, RANGFR, SLMAP, SCN2B, PKP2, FGF12, HEY2,SEMA3A | SCN5A, KNCJ8, CACNA1C, CACNA2D1, CACNB2b, ABCC9, SCN10A |
*Type 1 ECG is characterised by a coved-type ST-segment elevation ≥2 mm in at least one right precordial lead (V1–V3), followed by symmetric negative T waves, with little or no isoelectric separation. **Type 2 ECG displays a ST-segment elevation of >2 mm in right precordial leads followed by positive or biphasic T waves, resulting in a saddleback configuration. ***Type 3 ECG is defined as any of the two previous types if ST-segment elevation is ≤1 mm. ¥ ER pattern is characterised by a notch or slur ≥1 mm, occurring on the final 50 % of the downslope of an R-wave, in two adjacent inferior (II, III and aVF), lateral (I, aVL and V4–V6), or infero-lateral leads. § f-QRS (fragmented QRS) presents as a notch midway on the downslope of an R-wave. BrS = Brugada syndrome; ER syndrome = early repolarisation syndrome.