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