Early repolarization: Difference between revisions
(Early Repolarization) |
(typo) |
||
| Line 13: | Line 13: | ||
==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 | *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 | ||
Revision as of 16:22, 13 May 2016
Background
- Mostly seen in healthy patients <50, less likely >50, unlikely >70
- 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