The Early Repolarization Pattern A Consensus Paper

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

卷:66

Review

Macfarlane, Peter W.¹  Antzelevitch, Charles²  Haissaguerre, Michel³  Huikuri, Heikki V.^4,5  Potse, Mark⁶  Rosso, Raphael⁷  Sacher, Frederic³  Tikkanen, Jani T.^4,5  Wellens, Hein⁸  Yan, Gan-Xin⁹ 

[1] Univ Glasgow, Electrocardiol Sect, Inst Cardiovasc & Med Sci, Glasgow G31 2ER, Lanark, Scotland

[2] Lankenau Inst Med Res, Cardiovasc Res Program, Wynnewood, PA USA

[3] Bordeaux Univ, Bordeaux Univ Hosp, LIRYC Inst, INSERM 1045, Bordeaux, France

[4] Oulu Univ, Cent Hosp, Med Res Ctr Oulu, SF-90220 Oulu, Finland

[5] Univ Oulu, Oulu, Finland

[6] Inria Bordeaux Sud Ouest, F-33405 Talence, France

[7] Tel Aviv Univ, Tel Aviv Sourasky Med Ctr, IL-69978 Tel Aviv, Israel

[8] Univ Maastricht, Dept Cardiol, Maastricht, Netherlands

[9] Lankenau Inst Med Res, Wynnewood, PA USA

关键词: cardiac arrhythmias;    electrocardiography;    end-QRS notching/slurring;    heart conduction system;    sudden cardiac death;    ventricular fibrillation;   

DOI  :  10.1016/j.jacc.2015.05.033

来源: Elsevier

【 摘 要 】

The term early repolarization has been in use for more than 50 years. This electrocardiographic pattern was considered benign until 2008, when it was linked to sudden cardiac arrest due to idiopathic ventricular fibrillation. Much confusion over the definition of early repolarization followed. Thus, the objective of this paper was to prepare an agreed definition to facilitate future research in this area. The different definitions of the early repolarization pattern were reviewed to delineate the electrocardiographic measures to be used when defining this pattern. An agreed definition has been established, which requires the peak of an end-QRS notch and/or the onset of an end-QRS slur as a measure, denoted Jp, to be determined when an interpretation of early repolarization is being considered. One condition for early repolarization to be present is Jp >= 0.1 mV, while ST-segment elevation is not a required criterion. (C) 2015 by the American College of Cardiology Foundation.

【 授权许可】

Free