Figure 1.

This is the ECG obtained when the patient was febrile and tachycardic. The elevated J point, seen in the septal leads only and designated by the arrows, is characteristic of Brugada wave. Full interpretation of the ECG was as follows: rate was 132; rhythm was sinus; axis was ∼60; PR was normal; QRS was Brugada in septal leads, type 1; ST, elevation in V1–V3; QRS Brugada without LBBB or RBBB or incomplete block; hypertrophy was none; P wave was no atrial enlargement; QRS wave was narrow; T wave was blunted but no deflection; U wave was absent; J point was maximum at 4 mm. Type 1 Brugada syndrome, QTc was 445.