Difference between revisions of "Early repolarization"
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==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 | ||
*ST elevation is <25% of the T wave height in V6 | *ST elevation is <25% of the T wave height in V6 | ||
| − | *No reciprocal | + | *No reciprocal ECG changes or ST depressions (unless in aVR or V1) |
*ST changes stable over time | *ST changes stable over time | ||
Revision as of 06:42, 16 May 2017
Contents
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
- STEMI
- Pericarditis