Early repolarization syndrome

Early repolarization syndrome – ERS is commonly seen in

  • athletes,
  • cocaine users
  • hypertrophic obstructive cardiomyopathy
  • defects and/or hypertrophy of interventricular septal defects[
  • Prevalence of ERS varies between 3% and 24% in the general population, depending on the population studied and methods used for ECG interpretation.
  • Common in population – Young individuals, especially those predisposed to vagotonia, males, African Americans, and athletes are subpopulations known to have a higher prevalence of ERS

cardiac arrhythmias

Tikkanen et al demonstrated that the location (inferior vs lateral leads) as well as J-point elevation of > 0.2 mV are linked to a significant risk of death from cardiac arrhythmias (adjusted relative risk, 2.98; 95%CI: 1.85-4.92; P < 0.001).

Early repolarization – called J-point elevation

  • Type of ST-segment elevation is present in healthy individuals – early repolarization, called J-point elevation.
  • It is distinguished by the fact that the T wave does not merge with the ST segment and remains an independent wave. 

Early repolarization syndrome