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Title: Early Repolarisation - What Should the Clinician Do?
Epworth Authors: Obeyesekere, Manoj
Other Authors: Krahn, Andrew
Keywords: Cardiology
Early Repolarisation
Idiopathic Ventricular Fibrillation
Clinical Medicine
Cardiovascular Diseases
Arrhythmias, Cardiac
Cardiac Sciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Epworth HealthCare, Victoria, Australia
Issue Date: Aug-2015
Publisher: Radcliffe Cardiology
Citation: Arrhythm Electrophysiol Rev. 2015 Aug;4(2):96-9.
Abstract: The early repolarisation (ER) pattern is a common ECG finding. Most individuals with the ER pattern are at minimal risk for arrhythmic events. In others, ER increases the arrhythmic risk of underlying cardiac pathology. Rarely ER syndrome will manifest as a primary arrhythmogenic disorder causing ventricular fibrillation (VF). ER syndrome is defined as syncope attributed to ventricular arrhythmias or cardiac arrest attributed to ER following systematic exclusion of other etiologies. Some ECG features associated with ER portend a higher risk. However, clinically useful risk-stratifying tools to identify the asymptomatic patient at high risk are lacking. Patients with asymptomatic ER and no family history of malignant ER should be reassured. All patients with ER should continue to have modifiable cardiac risk factors addressed. Symptomatic patients should be systematically investigated, directed by symptoms.
DOI: 10.15420/aer.2015.04.02.96
PubMed URL:
ISSN: 2050-3377
Journal Title: Arrhythmia & Electrophysiology Review
Type: Journal Article
Affiliated Organisations: Cabrini Healthcare Group, Victoria, Australia.
The Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
Type of Clinical Study or Trial: Review
Appears in Collections:Cardiac Sciences

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