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1-Minute Consult

Does early repolarization on ECG increase the risk of cardiac death in healthy people?

Ziad Sayedahmad, MD, Fahed Darmoch, MD, Yasser Al-Khadra, MD, Amjad Kabach, MD and M. Chadi Alraies, MD
Cleveland Clinic Journal of Medicine March 2019, 86 (3) 165-166; DOI: https://doi.org/10.3949/ccjm.86a.17032
Ziad Sayedahmad
Beaumont Hospital, Department of Internal Medicine, Royal Oak, MI
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Fahed Darmoch
Department of Internal Medicine, Cleveland Clinic
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Yasser Al-Khadra
Department of Internal Medicine, Cleveland Clinic
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Amjad Kabach
Department of Cardiovascular Medicine, Creighton University, School of Medicine, Omaha, NE
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M. Chadi Alraies
Department of Cardiovascular Medicine, Wayne State University/Detroit Medical Center, Detroit, MI
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  • For correspondence: [email protected]
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    Figure 1

    Early repolarization with and without QRS notch or slur.

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    TABLE 1

    Early repolarization: High-risk features

    J-point distributionLateral distribution is deemed low-risk compared with inferior and global distribution across all leads
    J-wave amplitudeAmplitude ≥ 0.2 mV
    ST-segment morphologyHorizontal or downsloping ST segment
    QRS notchingNotching of the terminal portion of the QRS is more prevalent in patients with idiopathic ventricular fibrillation
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Cleveland Clinic Journal of Medicine: 86 (3)
Cleveland Clinic Journal of Medicine
Vol. 86, Issue 3
1 Mar 2019
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Does early repolarization on ECG increase the risk of cardiac death in healthy people?
Ziad Sayedahmad, Fahed Darmoch, Yasser Al-Khadra, Amjad Kabach, M. Chadi Alraies
Cleveland Clinic Journal of Medicine Mar 2019, 86 (3) 165-166; DOI: 10.3949/ccjm.86a.17032

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Does early repolarization on ECG increase the risk of cardiac death in healthy people?
Ziad Sayedahmad, Fahed Darmoch, Yasser Al-Khadra, Amjad Kabach, M. Chadi Alraies
Cleveland Clinic Journal of Medicine Mar 2019, 86 (3) 165-166; DOI: 10.3949/ccjm.86a.17032
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    • DEFINING EARLY REPOLARIZATION
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