is defined as an abnormal pattern of breathing and brainstem reflex that is characterised by gasping and laboured breathing, among other symptoms.
When seizure activity recorded at home was reviewed, it was determined that she had agonal respiration
. The patient was admitted to the VEM unit for differential diagnosis of epilepsy.
At least one of the following clinical requirements must be met: (a) history of VT/VF, (b) family history of SCD, (c) family history of coved-type ECG, (d) agonal respiration
during sleep, or (5) inducibility of VT/VF during electrophysiological study.
The clinical presentation of BS varies from patients being asymptomatic, to having a history of syncope, seizures, palpitations, nocturnal agonal respiration
, and aborted sudden death,  and the majority of patients have a family history of sudden death or malignant arrhythmias.
Similar patients presenting with syncope, seizure, or nocturnal agonal respiration
also should undergo ICD implantation after noncardiac causes of these symptoms have been ruled out.
Initial guidelines required documented, polymorphic ventricular tachycardia or fibrillation, a family history of sudden cardiac death ([less than or equal to] 45 years old), coved-type electrocardiograms in family members, syncope, or nocturnal agonal respiration
in addition to the type 1 BEP for a diagnosis of Brugada syndrome (BrS) [2-4].
Ten hours after her injury the patient presented to the Emergency Department with stridorous and agonal respirations
with a profoundly decreased level of consciousness.