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Medicine Matters Home Article of the Week Sudden Cardiac Arrest Secondary to Early Repolarization Syndrome

Sudden Cardiac Arrest Secondary to Early Repolarization Syndrome

ARTICLE: Sudden Cardiac Arrest Secondary to Early Repolarization Syndrome

AUTHORS: Michael ChilaziMerve GurakarNatalie RosenRishi TrivediRachit M VakilGarima SharmaJonathan Chrispin

JOURNAL: JACC Case Rep. 2021 Sep 15;3(12):1422-1426. doi: 10.1016/j.jaccas.2021.07.006.

Abstract

A healthy 41-year-old man sustained cardiac arrest secondary to ventricular fibrillation. An extensive ischemic, structural, and genetic evaluation did not identify an attributable pathologic condition. Electrocardiograms were notable for early repolarization pattern. Here we review the diagnosis, prevalence, and prognostic significance of the early repolarization syndrome on sudden cardiac death. (Level of Difficulty: Intermediate.).

Keywords: CPR, cardiopulmonary resuscitation; CT, computed tomography; ECG, electrocardiogram; ER, early repolarization; ICD, implantable cardioverter defibrillator; MRI, magnetic resonance imaging; SCD, sudden cardiac death; VF, ventricular fibrillation; early repolarization; electrophysiology; sudden cardiac death.

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Kelsey Bennett