Exercise-related Brugada pattern and monomorphic ventricular tachycardia in a patient with Brugada syndrome: interplay between body temperature, haemodynamics and vagal activity

A 49-year-old male patient presented to our clinic for an experienced pre-syncope after strenuous activity on a bike (cycling uphill). Diagnosis of Brugada syndrome (BrS) was previously established based on a brutal syncope and type 1 Brugada pattern during drug challenge (ajmaline), for which an implantable cardioverter defibrillator (ICD) was …