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. 2016 Sep 28;46(5):601–609. doi: 10.4070/kcj.2016.46.5.601

Table 1. The difference between traditional and modern ER.

Traditional ER definition Modern ER definition
Time of firstly proposed 1961 2008
Major difference in diagnosis Upwardly concave ST segment Elevation An elevation of the QRS–ST junction
Mechanisms AP plateau depression in the epicardium related to Ito-mediated AP notch Ito-mediated AP notch and IVCD
12 lead ECG recognition ER can be easily identified in 12 lead ECG ER can be often confused with IVCD in 12 lead ECG
Risk for VF Rare, considering benign Depending on J wave amplitude and related changes in ST and T wave
Prevalence lower higher

ER: early repolarization, AP: action potential, ECG: electrocardiography, VF: ventricular fibrillation, IVCD: intraventricular conduction delay