The abnormal heart rhythms seen in Brugada syndrome often occur at rest, following a heavy meal, or even during sleep.[1] These situations are linked to periods when the vagus nerve is activated, referred to as periods of high vagal tone. Abnormal heart rhythms may also occur during fever or following excessive alcohol. Certain medications may also worsen the tendency to abnormal heart rhythms in patients with Brugada syndrome and should be avoided by these patients.[2]