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- W2119001437 abstract "A 36-year-old male patient, who was admitted with atypical chest pain and had normal physical examination and laboratory findings, including on an echocardiogram and a maximal exercise treadmill/thallium test, is described. His electrocardiograms (ECGs) revealed ST-segment elevation in leads V(1) through V(1), suggestive of early repolarization variant (ERPV); in addition, there was evidence of accelerated atrioventricular conduction (short PR interval) and incomplete right bundle branch block (IRBBB). It is postulated that these 2 features represent ECG correlates of ERPV, which is characterized by accelerated repolarization and depolarization, and are due to a rapid conduction through all or some component(s) of the atria/AV-node/Hiss bundle/left bundle branch/left ventricle chain, leading to a short PR interval and early and accelerated activation of the left ventricle, with resultant IRBBB. In addition to this being a case report, it constitutes a speculation that all the noted ECG findings are related and occurred in the context of ERPV; in all scientific fairness, it is possible that the accelerated atrioventricular conduction and IRBBB could have also occurred in a patient who happened to have ERPV. Finally, the occasional occurrence of morbidity and mortality in a patient with ERPV does not mitigate (at least until we know more) the time-honored belief that the ERPV is, after all, a benign ECG variant." @default.
- W2119001437 created "2016-06-24" @default.
- W2119001437 creator A5020613602 @default.
- W2119001437 date "2008-01-01" @default.
- W2119001437 modified "2023-09-27" @default.
- W2119001437 title "Early repolarization associated with accelerated atrioventricular conduction (short PR interval) and incomplete right bundle branch block: postulated mechanisms" @default.
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- W2119001437 doi "https://doi.org/10.1016/j.jelectrocard.2007.05.017" @default.
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- W2119001437 hasPublicationYear "2008" @default.
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