Anaesthetic management in Brugada syndrome: A case report

Brugada syndrome (BrS), an autosomal dominant condition associated with SCN5A gene mutations, is marked by RBBB (right bundle branch block) as well as ST segment elevation in causes V1-V3, resulting in sudden cardiac mortality or arrhythmias. Treatment focuses on preventing life-threatening arrhythmias, with an ICD being a most effective intervention for patients with a history of VF (ventricular fibrillation). This report discusses the use of perioperative isoprenaline in a 62yr old patient with an ICD undergoing elective surgery, highlighting the importance of preoperative assessment and careful perioperative management to prevent malignant arrhythmias (MA).