Which syndrome is indicated by persistent elevations in V1-V3 leads with a right bundle branch block appearance?

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Brugada syndrome is characterized by a specific pattern seen on the electrocardiogram (ECG), particularly in leads V1 to V3. This condition is associated with intermittent and persistent ST-segment elevations that take on a coved appearance. Additionally, individuals with Brugada syndrome often exhibit a right bundle branch block (RBBB) morphology on the ECG, which aligns with the mentioned persistent elevations in the leads specified.

Patients with Brugada syndrome have an increased risk of sudden cardiac death due to ventricular arrhythmias, which is often triggered by certain medications, fever, or autonomic changes. The syndrome predominantly affects young males and is genetically linked, predominantly associated with mutations in the SCN5A gene that encodes for voltage-gated sodium channels.

When considering the other syndromes listed, they do not feature the specific combination of ST-segment elevations in V1-V3 with a right bundle branch block appearance. Long QT syndrome primarily involves prolonged QT intervals leading to Torsades de Pointes rather than the characteristic ST elevation. Wolff-Parkinson-White syndrome is known for pre-excitation due to an accessory pathway and features a different ECG pattern without the coved ST elevation characteristic of Brugada. Arrhythmogenic right ventricular cardiomy

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