Typically Brugada syndrome presents with either ventricular fi brillation or p olymorphic ventricular tachycardia that may result in sudden death or syncope in patients without any structural heart disease. We report the case of a patient with Brugada syndrome who presented atypically with recurrent presyncope followi ng physical exertion due to sustained monomorphic ventricular tachycardia, which appeared to be sensitive to both adenosine and catecholamine. He refused ICD im plantation but remained asymptomatic on treatment with a beta blocker.
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