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- W2271303909 abstract "Management of a patient with early repolarization (ER) pattern on the ECG can be a challenge; but, first, I would like to resolve some confusion regarding the definition of ER. ER was traditionally defined as concave ST-segment elevation plus prominent or symmetrically limbed T wave often accompanied by J wave or QRS notching or slurring. Since 2008, the ER definition has shifted away from this traditional focus on ST-segment elevation and focuses instead on J wave or QRS notching or slurring. Thus, the modern definition of ER is J wave or an end QRS notch or slur on the downslope of a prominent R wave with J-point elevation Z0.1 mV in 2 or more contiguous leads of the 12-lead ECG, excluding leads V1–V3. To avoid confusion, my approach uses the modern ER definition. Moreover, the term “early repolarization syndrome” should be reserved for ER patterns associated with vulnerability to polymorphic ventricular tachycardia (VT) and ventricular fibrillation (VF) leading to sudden cardiac death (SCD). When a patient with ER is seen, one must obtain detailed medical information, including age, gender, and past medical and family history. It is also important to pay attention specifically to the following high-risk ER patterns:" @default.
- W2271303909 created "2016-06-24" @default.
- W2271303909 creator A5080084015 @default.
- W2271303909 date "2016-05-01" @default.
- W2271303909 modified "2023-09-24" @default.
- W2271303909 title "MY APPROACH to early repolarization syndrome" @default.
- W2271303909 doi "https://doi.org/10.1016/j.tcm.2015.08.008" @default.
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- W2271303909 hasPublicationYear "2016" @default.
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