Early repolarization: from benign to sudden death
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Keywords

Arrhythmias
cardiac
channelopathies
sudden
death

How to Cite

Trout, G., Rodríguez, L., Gallego, R., & Jarava, S. (2013). Early repolarization: from benign to sudden death. Duazary, 10(1), 41–50. https://doi.org/10.21676/2389783X.205

Abstract

Early repolarization is a common finding characterized by ST segment elevation, QRS slurring end in 2 or more contiguous electrocardiographic derivative. For years he was considered benign, but at present observations of cases, clinical and electrophysiological studies suggest a critical role in the pathogenesis of idiopathic ventricular fibrillation. Population studies established association between this patent and risk of death from arrhythmic events. Sudden cardiac death is a public health problem, annually causes about 350,000 deaths in America. Many cases are associated with ventricular arrhythmias, which are 6-14% in patients without structural heart disease and is determined by genetic abnormalities that affect ion channels or idiopathic as early repolarization syndrome and idiopathic ventricular fibrillation that generate 10% of these deaths. The review addresses the pathophysiology of RP, in order to understand the mechanisms by which it is associated with malignant arrhythmias. In addition, to differentiate this pattern of others who also produce ST elevation and clarify the approach and current recommendations for diagnosis and management.
https://doi.org/10.21676/2389783X.205
PDF (Español (España))

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