The Early Repolarization Pattern A Consensus Paper

Peter W. Macfarlane; Charles Antzelevitch; Michel Haissaguerre; Heikki V. Huikuri; Mark Potse; Raphael Rosso; Frederic Sacher; Jani T. Tikkanen; Hein Wellens; Gan-Xin Yan

doi:10.1016/j.jacc.2015.05.033

The Early Repolarization Pattern A Consensus Paper

Peter W. Macfarlane^*, Charles Antzelevitch, Michel Haissaguerre, Heikki V. Huikuri, Mark Potse, Raphael Rosso, Frederic Sacher, Jani T. Tikkanen, Hein Wellens, Gan-Xin Yan

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

229 Citations (Web of Science)

Abstract

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.

Original language	English
Pages (from-to)	470-477
Journal	Journal of the American College of Cardiology
Volume	66
Issue number	4
DOIs	https://doi.org/10.1016/j.jacc.2015.05.033
Publication status	Published - 28 Jul 2015

Keywords

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

Access to Document

10.1016/j.jacc.2015.05.033

Cite this

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title = "The Early Repolarization Pattern A Consensus Paper",

abstract = "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. ",

keywords = "cardiac arrhythmias, electrocardiography, end-QRS notching/slurring, heart conduction system, sudden cardiac death, ventricular fibrillation",

author = "Macfarlane, {Peter W.} and Charles Antzelevitch and Michel Haissaguerre and Huikuri, {Heikki V.} and Mark Potse and Raphael Rosso and Frederic Sacher and Tikkanen, {Jani T.} and Hein Wellens and Gan-Xin Yan",

year = "2015",

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T1 - The Early Repolarization Pattern A Consensus Paper

AU - Macfarlane, Peter W.

AU - Antzelevitch, Charles

AU - Haissaguerre, Michel

AU - Huikuri, Heikki V.

AU - Potse, Mark

AU - Rosso, Raphael

AU - Sacher, Frederic

AU - Tikkanen, Jani T.

AU - Wellens, Hein

AU - Yan, Gan-Xin

PY - 2015/7/28

Y1 - 2015/7/28

N2 - 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.

AB - 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.

KW - cardiac arrhythmias

KW - electrocardiography

KW - end-QRS notching/slurring

KW - heart conduction system

KW - sudden cardiac death

KW - ventricular fibrillation

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DO - 10.1016/j.jacc.2015.05.033

M3 - Article

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JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

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