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My bro would've been 31 years old tomorrow; he died suddenly at 27; sudden cardiac death while asleep. For my #EM folks a quick review of #cantmiss conditions in young adults at risk of sudden cardiac death w/ a key symptom reminder: exertional syncope = 
#pearls #MedEd
#pearls #MedEd
1) Hypertrophic cardiomyopathy: AD disorder, think of w/ exertional syncope/CP/palpitations, dagger q waves in inferolat leads. https://litfl.com/hypertrophic-cardiomyopathy-hcm-ecg-library/ @LITFLblog
2) Long QT syndrome: congenital vs acquired, can lead to TdP or Vfib. Think > 500msec http://www.tamingthesru.com/blog/air-care-series/long-qt-syndrome @TamingtheSRU
3) Brugada syndrome: think of in your syncope patients. Three types but remember: RBBB + weirdness in v1/2/3 and you're halfway there. Get familiar with the three patterns: https://journals.lww.com/em-news/fulltext/2009/07000/Electrocardiograms_You_Need_to_Know__Brugada.10.aspx
4) Arrhythmogenic right ventricular cardiomyopathy: Another AD condition. Consider with syncope and the "epsilon wave." Tough to spot, seems less widely known: http://www.emdocs.net/arrhythmogenic-right-ventricular-dysplasiacardiomyopathy-em-highlights/ @emdocsdotnet
Finally, young people also can have STEMIs. Treat them with urgency and advocate for their care: http://hqmeded-ecg.blogspot.com/2013/11/another-stemi-in-young-person-with-no.html @smithECGBlog
WPW: short PR and delta wave; quick primer: https://www.roshreview.com/blog/rapid-review/rapid-review-wolff-parkinson-white-wpw-syndrome/
