- • Vol 10 • July 2008 548 The Brugada syndrome is an inherited channelopathy disorder. The syndrome is characterized by an electrocardiograph pattern of right bundle branch block and ST elevation in the right precordial leads in the absence of structural heart disease. The main concern regarding these patients is the tendency to develop a ventricular tachyarrhythmia that causes syncope and even sudden death . It is well known that the Brugada ECG pattern is dynamic and might be revealed by certain physiological conditions or pharmacological challenge. We present a case of symptomatic Brugada syndrome leading to syncope, provoked by high fever.