A 30-year-old male athlete with exercise-related syncopal symptoms exhibited a Type 1 Brugada electrocardiogram and was inducible during electrophysiology study. He was diagnosed with symptomatic Brugada syndrome and deemed at high risk of sudden cardiac death. He received a cardioverter/defibrillator and was advised to abstain from competitive sports activities. This case demonstrates that, in athletes with BS, repolarization anomalies may be enhanced post vigorous exercise.
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