Difference between revisions of "Early repolarization"

(ECG Findings)
 
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*Mostly seen in healthy patients <50, less likely >50, unlikely >70
 
*Mostly seen in healthy patients <50, less likely >50, unlikely >70
 
*Typical patient is male, black, athlete
 
*Typical patient is male, black, athlete
*Shows diffuse ST elevation similar to pericarditis and STEMI
+
*Shows diffuse [[ST elevation]] similar to [[pericarditis]] and [[STEMI]]
 
*Underlying pathophysiology poorly understood, however, it is a normally a benign process
 
*Underlying pathophysiology poorly understood, however, it is a normally a benign process
  
==ECG Findings==
+
==[[ECG]] Findings==
 
*Widespread '''concave''' ST elevation more prominent in V2-V5, elevation of ≥0.1 mV in two adjacent leads  
 
*Widespread '''concave''' ST elevation more prominent in V2-V5, elevation of ≥0.1 mV in two adjacent leads  
 
*Notching or slurring of the J point
 
*Notching or slurring of the J point
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==Early Repolarization Syndrome==
 
==Early Repolarization Syndrome==
 
*Early Repolarization is a benign finding with asymptomatic patients
 
*Early Repolarization is a benign finding with asymptomatic patients
*Early Repolarization syndrome applies to patients with early repolarization along with symptomatic arrhythmias such as Ventricular Fibrillation
+
*Early Repolarization syndrome applies to patients with early repolarization along with symptomatic arrhythmias such as [[ventricular fibrillation]]
 
**This is a diagnosis of exclusion
 
**This is a diagnosis of exclusion
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
*STEMI
+
{{ST elevation DDX}}
*Pericarditis
 
  
 
==See Also==
 
==See Also==

Latest revision as of 18:51, 24 September 2019

Background

  • Mostly seen in healthy patients <50, less likely >50, unlikely >70
  • Typical patient is male, black, athlete
  • Shows diffuse ST elevation similar to pericarditis and STEMI
  • Underlying pathophysiology poorly understood, however, it is a normally a benign process

ECG Findings

  • Widespread concave ST elevation more prominent in V2-V5, elevation of ≥0.1 mV in two adjacent leads
  • Notching or slurring of the J point
  • ST elevation is <25% of the T wave height in V6
  • No reciprocal ECG changes or ST depressions (unless in aVR or V1)
  • ST changes stable over time

Early Repolarization Syndrome

  • Early Repolarization is a benign finding with asymptomatic patients
  • Early Repolarization syndrome applies to patients with early repolarization along with symptomatic arrhythmias such as ventricular fibrillation
    • This is a diagnosis of exclusion

Differential Diagnosis

ST Elevation

See Also

References