This patient is a 50-year-old man. His brother was diagnosed with epilepsy and died during a seizure at the age of 21.
Parts of the following text I have taken over from Dawn`s explanation on Brugada pattern/Brugada syndrome:
This ECG shows a “classic” Brugada pattern. Brugada Syndrome is a hereditary disease that is associated with a high risk of sudden cardiac death. It is due to a mutation in the sodium channel gene (channelopathy).
The ECG characteristics are: ST elevation in V1 through V3 of at least 2 mm at the J point in the right precordial leads (V1-V3).
·Coved upward ST segments with negative T waves in the affected leads.
Brugada Syndrome is diagnosed when the ECG pattern exists with one of the following:
·Polymorphic ventricular tachycardia (VT) or ventricular fibrillation.
We can assume that his brother had the same disease (undiagnosed) and died from Brugada Syndrome.