Brugada Phenocopy Score
Distinguishes true Brugada syndrome from Brugada phenocopy (BrP) — transient Brugada ECG pattern due to reversible conditions. High score = true Brugada syndrome.
Score interpretation
Score 0–1. Brugada phenocopy more likely. Look for reversible cause.
→ Treat precipitating cause (fever, drugs, electrolytes). Repeat ECG after cause resolved. Monitor for resolution.
Score 2–3. Cannot exclude true Brugada syndrome.
→ Refer to inherited cardiac conditions (ICC) clinic. Consider sodium channel blocker provocation test (ajmaline/flecainide). Genetic testing.
Score 4–5. High probability of true Brugada syndrome.
→ Cardiology/ICC clinic referral. Risk stratification for SCD (symptomatic = high risk). Consider ICD. Genetic counselling. Avoid contraindicated drugs (see www.brugadadrugs.org).
Interpretation bands for the Brugada Phenocopy. Apply clinical judgement and local guidance.
References
- Anselm DD et al. Brugada phenocopy — new terminology and proposed classification. Ann Noninvasive Electrocardiol. 2013;18(4):349-358.
- Priori SG et al. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. Eur Heart J. 2015;36(41):2793-2867.
Related
Curated clinical cross-links plus same-class fallbacks.
- Fridericia Corrected QT Interval (QTcF) · ECG Interpretation
- Modified Sgarbossa's Criteria (Smith Modification) for MI in LBBB · ECG Interpretation
- Wellens Syndrome ECG Pattern · ECG Interpretation
- Lead aVR Sign for Left Main / Proximal LAD Occlusion · ECG Interpretation
- de Winter ECG Pattern for Proximal LAD Occlusion · ECG Interpretation
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.