Benign early repolarization

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Presentation transcript:

Benign early repolarization Seen in fit young people less common in the over 50s, rare in the over 70s Widespread ST segment elevation that may mimic pericarditis or acute MI Characteristic notched J Point Possibly related to high sympathetic tone on heart

Notched J point :Fish hook appearance

ECG finding Early repolarization Acute pericarditis Myocardial infarction ST-segment elevation shape Concave upward Convex upward Reciprocal ST segment changes Absent Maybe present Present Location of ST-segment elevation Precordial leads Limb and precordial leads Area of involved artery ST/T ratio in lead V6 <0.25 >0.25 N/A PR- segment depression