CASES OF NOTEA Zebra Among Horses A Case of Brugada Syndrome and Coronary Artery DiseaseMartin, Kyle L. MSN, RN; Hicks, Rodney W. PhD, RN, FNP-BC, FAANP, FAANSection Editor(s): Jordan, Kathleen Sanders DNP, RN, MS, FNP-C, SANE-P; Column Editors Author Information Western University of the Health Sciences, Pomona, California (Mr Martin); Methodist Richardson Medical Center, Richardson, Texas (Mr Martin); and College of Graduate Nursing, Western University of Health Sciences, Pomona, California (Dr Hicks). Corresponding Author: Kyle L. Martin, MSN, RN, Methodist Richardson Medical Center, 2831 E President George Bush Hwy, Richardson, TX 75082 (firstname.lastname@example.org) Disclosure: The authors report no conflicts of interest. Advanced Emergency Nursing Journal: April/June 2016 - Volume 38 - Issue 2 - p 109-114 doi: 10.1097/TME.0000000000000102 Buy Take the CE Test Metrics Abstract Brugada syndrome (BrS) is recognized as a hereditary ion channel disorder with electrocardiographic changes. First appearing in the literature about 20 years ago, contemporary thoughts are that BrS may be responsible for many sudden cardiac deaths and is associated with ventricular dysrhythmias that can lead to syncope or cardiac arrest. Many individuals with BrS may have no or limited structural heart disease, whereas others may have subtle morphological changes in histopathology. This case reviews a single patient with BrS Type 1 who was found to have a high-level of coronary artery disease. Changes noted in the original electrocardiogram were of significant importance in reaching the diagnosis. © 2016 Wolters Kluwer Health, Inc. All rights reserved.