Early repolarization: Difference between revisions
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==Background== | ==Background== | ||
*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 | |||
*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 | ||
Revision as of 20:59, 26 November 2016
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)
- 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