Is early ventricular repolarization of the heart still a normal option?
- Authors: Bobrov A.L1, Gordienko A.V1
-
Affiliations:
- The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- Issue: Vol 341, No 10 (2020)
- Pages: 40-44
- Section: Articles
- URL: https://journals.eco-vector.com/0026-9050/article/view/82383
- DOI: https://doi.org/10.17816/RMMJ82383
- ID: 82383
Cite item
Abstract
The review article is devoted to the diagnosis and clinical significance of the phenomenon and syndrome of early ventricular repolarization of the heart. Early repolarization syndrome is a clinical condition involving a combination of the phenomenon of early repolarization and polymorphic ventricular tachycardia, ventricular fibrillation, and/or sudden cardiac death in individuals without structural heart disease. Twelve years ago, the phenomenon was recognized as an unambiguous version of the norm. However, several multicenter studies have shown that the phenomenon is associated with an increased risk of sudden cardiac death. In patients with the syndrome and individuals with the phenomenon of early repolarization against the background of a burdened family history, therapeutic measures are required.
Full Text

About the authors
A. L Bobrov
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: bobrov@cardioschool.ru
St. Petersburg, Russia
A. V Gordienko
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian FederationSt. Petersburg, Russia
References
- Аббакумов С.Д., Романов М.М., Стае М. Синдром преждевременной реполяризации желудочков // Кардиология. - 1979. - Т. 19, № 7. - С. 82-86.
- Бобров А.Л., Шуленин С.Н. Новая классификация синдрома ранней реполяризации желудочков: клиническое значение и применение // Кардиология СНГ. - 2006. - T. 4, № 1. - С. 123.
- Воробьев Л.П., Грибкова И.Н., Петрусенко Н.М. Возможные механизмы возникновения синдрома ранней реполяризации желудочков // Кардиология. - 1985. - Т. 25, № 4. - С. 110-112.
- Скоробогатый А.М. Синдром ранней реполяризации желудочков // Кардиология. - 1986. - Т. 26, № 11. - С. 89-94.
- Скоробогатый A.M. Электрокардиографическая диагностика и классификация синдрома ранней реполяризации желудочков // Клин. мед. - 1985. - Т. 63, № 1. - С. 47-51.
- Шуленин С.Н., Бойцов С.А., Бобров А.Л. Клиническое значение синдрома ранней реполяризации желудочков, алгоритм обследования // Вестн. аритмологии. - 2008. - № 50. - С. 33-39.
- Antzelevitch С., Yan G-X., Ackerman M.J. et al. J wave syndromes consensus conference: emerging concepts & gaps in knowledge // Heart Rhythm. - 2016. - Vol. 13, N 10. - P. 295-324.
- Grant R.P., Estes H.E., Doyle J.T. Spatial vector electrocardiography; the clinical characteristics of S-T and T vectors // Circulation. - 1951. - Vol. 3. - P. 182-197.
- Haпssaguerre M., Derval N., Sacher F. et al. Sudden cardiac arrest associated with early repolarization // N. Engl. J. Med. - 2008. - Vol. 358. - P. 2016-2023.
- Kambara H., Phillips M. Long-term elevation of early repolarisation syndrome (normal variant RS-T segment elevation) // Amer. J. Cardiol. - 1976. - Vol. 38, N 2. - P. 157-161.
- Noseworthy P.A., Tikkanen J.T., Porthan K. et al. The early repolarization pattern in the general population clinical correlates and heritability // J. Am. Coll. Cardiol. - 2011. - Vol. 57. - P. 2284-2289.
- Nunn L.M., Bhar-Amato J., Lowe M.D. et al. Prevalence of J-point elevation in sudden arrhythmic death syndrome families // J. Am. Coll. Cardiol. - 2011. - Vol. 58. - P. 286-290.
- Priori S.G., Wilde A.A., Horie M. et al. HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes // Heart Rhythm. - 2013. - Vol. 10, N 12. - P. 1932-1963.
- Reinhard W., Kaess B.M., Debiec R. et al. Heritability of early repolarization: a population-based study // Circ. Cardiovasc. Genet. - 2011. - Vol. 4. - P. 134-138.
- Shipley R.A., Halloran W.R. The four-lead electrocardiogram in 200 normal men and women // Amer. Heart J. - 1936. - N 11. - P. 325-345.
- Tikkanen J.T., Anttonen O., Junttila M.J. et al. Long-term outcome associated with early repolarization on electrocardiography // N. Engl. J. Med. - 2009. - Vol. 361. - P. 2529-2537.
- Tomaszewski W. Changement electrocardiographiques observes chez un homme mort de froid [Electrocardiographic changes observed in a man frozen to death] // Arch. Mal. Coeur. - 1938. - Vol. 31. - P. 525-528.
