A 34-year old man comes to the emergency department. He has read in a newspaper about the familial occurrence of sudden death. He suffered a collapse during an episode of viral meningitis accompanied by high fever a few months earlier. A few years ago his elder brother, who was previously found to have idiopathic atrial fibrillation, died suddenly at the age 32 years.
Physical examination It reveals no abnormalities, including normal heart sounds. Echocardiographic evaluation reveals no abnormalities either. His baseline ECG's is shown in the images attached. Source: ecgpedia *This case is from Docplexus editorial team for eductional purpose only
