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Published byAmice McDowell Modified over 5 years ago
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Figure 1. The two major patterns of early repolarization
Figure 1. The two major patterns of early repolarization. Terminal QRS slurring (left) and notching (right) (arrows)
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Figure 2. Schematic representation of the possible mechanism underlying J-wave occurrence. Action potentials from epicardium and endocardium from normal individuals (left) and early repolarization (ER) patients (right) as well as the respective electrocardiograms are shown. A prominent phase 1- notch and the loss of epicardial dome in phase-2 (red arrow) results in transmural dispersion of repolarization (dashed arrows) and appearance of the J-wave and ST-segment elevation on the surface ECG. AP: action potential, ECG: electrocardiogram, ER: early repolarization, RP: resting potential AP ECG Normal individual ER patient Endocardial AP Epicardial AP RP J- wave
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(a) (b) Figure 3. Characteristic electrocardiograms (ECGs) of Brugada type I (a) and type II (b)
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Table 1. High-risk criteria from clinical and laboratory evaluation
Probable Male gender History of syncope History of familial SCD ER in inferior leads or global ER pattern Terminal notching of QRS complex J-wave amplitude >0.2mV Possible EPS Genetic Testing ECG markers of TDR ECG: electrocardiogram, EPS: electrophysiological study, ER: early repolarization, TDR: transmural dispersion of repolarization
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