Early Repolarisation – Inferior Leads[!xe "Early repolarisation:inferior leads" \b \i!]
Report:
Sinus rhythm
Borderline right axis deviation +90o
ST elevation, inferior leads, consistent with early repolarisation
Trace within normal limits[!xe "Normal ECG:early repolarisation" \b \i!]
Comment:
Early repolarisation is a mysterious variant, prevalent in young adults, especially those with minor psychiatric symptoms. Its main differential diagnosis is acute pericarditis. The latter tends to involve both sets of leads, displace the PR segment, and include lead V6 when V leads are affected. Most importantly it evolves along the lines of acute pericarditis. Acute ischæmia and infarction, less often seen as differential diagnostic consideration, have reciprocal changes and reflect the evolution of the coronary event that caused the ECG changes. Early repolarisation has only one diagnostic feature - it remains constant over long periods of time.
How or why it disappears, statistically, in older adults remains unanswered.
Recently, an association with sudden death has been reported and is now subject of much speculation and some controversy125.
If you have any suggestions for or feedback on this report, please let us know.
Hi, can we chat about some terms and conditions?
The library and it's records are licensed under the Creative Commons Attribution 4.0 International license.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
By clicking agree below, you are agreeing to adhere to CC BY 4.0.