Early Repolarization Archives

Case 52: A 19-Year-Old Man seen after an Accidental Fall

Case 52: A 19-Year-Old Man seen after an Accidental Fall History Diagnosis History A 19-year-old man is seen in the Emergency Department after an accidental fall on the subway stairs.The ECG is recorded because he was complaining of chest wall tenderness: Diagnosis Marked sinus bradycardia (45/min) with sinus arrhythmia ST elevation, compatible with early repolarization …

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Case 104: A 58-Year-Old Man in Anesthesia Clinic

Practice Level 3

Case 104: A 58-Year-Old Man in Anesthesia Clinic History Diagnosis History This is the ECG of a 58 year old man who is being assessed in the anaesthesia clinic prior to a prostatectomy. ST elevation has been noted. The patient has no history of chest pain or dyspnea. His exercise tolerance is good: Diagnosis Sinus rhythm Early …

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Case 52: A 68-Year-Old Woman with Chest Pain

Practice Level 4

Case 52: A 68-Year-Old Woman with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History This 68-year-old woman is brought to the Emergency Department because of severe pain for the past 2-3 hours, initially on the back of her neck and left shoulder, later moving to her anterior chest, worse on taking deep breaths …

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Case 68: A 57-Year-Old Man with Chest Pain

Practice Level 4

Case 68: A 57-Year-Old Man with Chest Pain History Diagnosis History A 57-year-old man presents with recurrent episodes of sharp left lower chest pain, lasting 5-10 seconds: Diagnosis Sinus rhythm, 71/min ST elevation, compatible with early repolarization ECG ID: E548

Case 70: A 33-Year-Old Man in the Cardiac Clinic

Practice Level 4

Case 70: A 33-Year-Old Man in the Cardiac Clinic History Diagnosis History This 33-year-old man had been referred because of recurrent episodes of sharp localized pain in his left lower anterior chest, lasting from a few seconds to one minute: Diagnosis Sinus rhythm, 61/min ST elevation compatible with early repolarization (a normal variant) In favour …

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Case 74: A 21-Year-Old Man with Palpitation

Practice Level 5

Case 74: A 21-Year-Old Man with Palpitation History Diagnosis History This 23-year-old man has complained of palpitation since his early teens. His exercise tolerance is normal. He has been followed in the cardiac clinic: Diagnosis Sinus rhythm with Mobitz I second degree AV block and junctional escape complexes ST elevation compatible with early repolarization Comment: Congenital second …

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