ECG Guru - Instructor Resources - Early Repolarization https://www.ecgguru.com/ecg/early-repolarization en Early Repolarization https://www.ecgguru.com/ecg/early-repolarization-0 <div class="field field-name-field-ecg field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/ecg/early-repolarization-0"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/M100_0.jpg" width="1800" height="1351" alt="" /></a></div></div></div><div class="field field-name-field-ecg-interpretation field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p><span style="font-family: Verdana, Helvetica, Arial, sans-serif; font-size: 13px; line-height: 19.5px;">This ECG was obtained from a healthy&nbsp;29-year-old man. &nbsp;It shows "benign early repolarization". &nbsp; &nbsp;It demonstrates the typical pattern&nbsp;of widespread ST elevation with&nbsp;a normal&nbsp;concave upward sloped ST segment.&nbsp; There are also prominent U waves in V2&nbsp;through V4, and T&nbsp;wave inversions in the inferior wall leads. He was not complaining of any symptoms and, in fact, donated this ECG as an example of known early repolarization pattern.&nbsp;&nbsp;The other changes may represent&nbsp;normal variations for his age and gender. Early repolarization&nbsp;has long been thought to be a completely benign variant, and it is quite common in young people, especially athletic men. &nbsp;But new research suggests a possible link to future serious arrhythmias. For a discussion of research on this topic from the Journal of the American College of Cardiology, see this&nbsp;</span><a style="outline: 0px; font-family: Verdana, Helvetica, Arial, sans-serif; font-size: 13px; font-stretch: inherit; line-height: 19.5px; color: #0062a0; text-decoration: underline;" title="Early Repolarization and Arrhythmia Death" href="http://content.onlinejacc.org/article.aspx?articleid=1555243">link</a><span style="font-family: Verdana, Helvetica, Arial, sans-serif; font-size: 13px; line-height: 19.5px;">. &nbsp;Research reported in the New England Journal of Medicine can be accessed at this <a href="http://www.nejm.org/doi/full/10.1056/NEJMoa071968">link.</a></span></p></div></div></div><div class="field field-name-field-rate-this-content field-type-fivestar field-label-above"><div class="field-label">Rate this content:&nbsp;</div><div class="field-items"><div class="field-item even"><form class="fivestar-widget" action="/taxonomy/term/296/feed" method="post" id="fivestar-custom-widget" accept-charset="UTF-8"><div><div class="clearfix fivestar-average-text fivestar-average-stars fivestar-form-item fivestar-hearts"><div class="form-item form-type-fivestar form-item-vote"> <div class="form-item form-type-select form-item-vote"> <select id="edit-vote--2" name="vote" class="form-select"><option value="-">Select rating</option><option value="20">Give Early Repolarization 1/5</option><option value="40">Give Early Repolarization 2/5</option><option value="60">Give Early Repolarization 3/5</option><option value="80" selected="selected">Give Early Repolarization 4/5</option><option value="100">Give Early Repolarization 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >3.3</span></span> <span class="total-votes">(<span >3</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-tnSLo02mJ0QbQh8iXm_Qv_N_eGAI8XglS8WF4oPF8TI" /> <input type="hidden" name="form_id" value="fivestar_custom_widget" /> </div></form></div></div></div><div class="field field-name-field-taxonomy field-type-taxonomy-term-reference field-label-above"><div class="field-label">Related Terms:&nbsp;</div><div class="field-items"><div class="field-item even"><a href="/ecg/early-repolarization" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Early Repolarization</a></div><div class="field-item odd"><a href="/ecg/benign-early-repolarization" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Benign early repolarization</a></div><div class="field-item even"><a href="/ecg/normal-sinus-rhythm" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Normal sinus rhythm</a></div></div></div><ul class="links inline"><li class="addtoany first last"><span><span class="a2a_kit a2a_target addtoany_list" id="da2a_1"> <a class="a2a_dd addtoany_share_save" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ecgguru.com%2Fecg%2Fearly-repolarization-0&amp;title=Early%20Repolarization"><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> <script type="text/javascript"> <!--//--><![CDATA[//><!-- if(window.da2a)da2a.script_load(); //--><!]]> </script></span></li> </ul> Mon, 29 Jun 2015 21:55:16 +0000 Dawn 648 at https://www.ecgguru.com https://www.ecgguru.com/ecg/early-repolarization-0#comments Anterior Wall M.I. https://www.ecgguru.com/ecg/anterior-wall-mi <div class="field field-name-field-ecg field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/ecg/anterior-wall-mi"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/AW110.jpg" width="1800" height="484" alt="" /></a></div></div></div><div class="field field-name-field-ecg-interpretation field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p>This ECG was obtained from an elderly man who was complaining of acute-onset chest pain, radiating down his left arm.&nbsp; He also complained of a cough, and had audible rhonchi.&nbsp; The machine interpretation gives several possible explanations for the widespread ST elevation noted on the ECG.&nbsp; The paramedics were a bit distracted by the machine's interpretation, and by the respiratory symptoms, and decided not to call a "cardiac alert" on the patient.&nbsp; They did, however, quickly transport him to the closest hospital, which happened to have full-service cardiac facilities.&nbsp; The patient was diagnosed&nbsp;with an acute M.I. and treated with angioplasty in the cath lab, with a good outcome.&nbsp; Afterward, the medics felt that they "overthought" this one, and should have given more weight to the patient's symptoms.&nbsp; Teach your students to evaluate their experiences with open minds and unafraid of self-criticism, so they may learn from every patient.&nbsp; This patient received excellent care, and the paramedics added to their "information banks", upon which they will draw for many years to come.&nbsp;</p><p>Although the angiogram results are not available to us, it is plausible that a proximal occlusion of the LCA, near the bifurcation of the LAD and the diagonal, could cause ST elevation in V3 through V6, with mild elevation in Lead II (which is oriented to the leftward portion of the inferior wall), and ST and T changes in the high lateral leads (I and aVL).&nbsp;</p><p>&nbsp;</p></div></div></div><div class="field field-name-field-rate-this-content field-type-fivestar field-label-above"><div class="field-label">Rate this content:&nbsp;</div><div class="field-items"><div class="field-item even"><form class="fivestar-widget" action="/taxonomy/term/296/feed" method="post" id="fivestar-custom-widget--2" accept-charset="UTF-8"><div><div class="clearfix fivestar-average-text fivestar-average-stars fivestar-form-item fivestar-hearts"><div class="form-item form-type-fivestar form-item-vote"> <div class="form-item form-type-select form-item-vote"> <select id="edit-vote--4" name="vote" class="form-select"><option value="-">Select rating</option><option value="20">Give Anterior Wall M.I. 1/5</option><option value="40">Give Anterior Wall M.I. 2/5</option><option value="60">Give Anterior Wall M.I. 3/5</option><option value="80">Give Anterior Wall M.I. 4/5</option><option value="100" selected="selected">Give Anterior Wall M.I. 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >5</span></span> <span class="total-votes">(<span >2</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit--2" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-k5pBs7SQW_wcXFnCH4aXs779kleu_6VitGeoJwIDhGw" /> <input type="hidden" name="form_id" value="fivestar_custom_widget" /> </div></form></div></div></div><div class="field field-name-field-taxonomy field-type-taxonomy-term-reference field-label-above"><div class="field-label">Related Terms:&nbsp;</div><div class="field-items"><div class="field-item even"><a href="/ecg/myocardial-infarction" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Myocardial infarction</a></div><div class="field-item odd"><a href="/ecg/stemi" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">STEMI</a></div><div class="field-item even"><a href="/ecg/anterior-wall-mi-5" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Anterior wall M.I.</a></div><div class="field-item odd"><a href="/ecg/pericarditis" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Pericarditis</a></div><div class="field-item even"><a href="/ecg/early-repolarization" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Early Repolarization</a></div></div></div><ul class="links inline"><li class="addtoany first last"><span><span class="a2a_kit a2a_target addtoany_list" id="da2a_2"> <a class="a2a_dd addtoany_share_save" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ecgguru.com%2Fecg%2Fanterior-wall-mi&amp;title=Anterior%20Wall%20M.I."><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Sat, 02 Mar 2013 22:52:35 +0000 Dawn 410 at https://www.ecgguru.com https://www.ecgguru.com/ecg/anterior-wall-mi#comments How Do You Teach Early Repolarization Vs. Acute M.I.? https://www.ecgguru.com/expert-review/how-do-you-teach-early-repolarization-vs-acute-mi <div class="field field-name-field-expert-ecg-interpretation field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/KGrauer%20Picture%20-%20jpeg-low%20resol%20%284-18-2011%29%20small%20version_3.jpg" width="91" height="115" alt="" title="Dr. Ken Grauer, MD" /></div><div class="field-item odd"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG-Fig-1-30m-ER-Benign-%286-27_4-2012%29.png" width="400" height="175" alt="" title="Early Repolarization" /></div></div></div><div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p>Our expert today is Dr. Ken Grauer, M.D., a frequent contributer to the ECG Guru.</p> <p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: xx-small;"><strong><span style="font-family: 'Times New Roman','serif'; mso-ansi-language: EN;"><a href="https://www.kg-ekgpress.com/about/#TOP_-_Ken_Grauer__MD"><span style="color: blue;"><span style="font-size: medium;">KEN GRAUER, MD</span></span></a></span></strong><span style="font-family: 'Times New Roman','serif'; mso-ansi-language: EN;"><span style="font-size: medium;"> is <strong><em>Professor</em></strong> <strong>Emeritus (</strong><em>Dept. Community Health/Family Medicine, College of Medicine, University of Florida in Gainesville</em><strong>)</strong>.<br> <strong>Dr. Grauer</strong> has been a leading family physician educator for over 30 years. During that time he has published (as principal author) more than 10 books and numerous study aids on the topics of ECG interpretation, cardiac arrhythmias, and ACLS <strong>(</strong><em>including an ongoing <strong>Educational </strong></em></span></span><a href="http://ecg-interpretation.blogspot.com/" target="_blank"><strong><span style="color: blue; font-family: 'Times New Roman','serif'; mso-ansi-language: EN;"><span style="font-size: medium;">ECG Blog</span></span></strong></a></span><span style="font-size: medium;"><span style="font-size: xx-small;"><strong><span style="font-family: 'Times New Roman','serif'; mso-ansi-language: EN;">)</span></strong><em></em></span><span style="font-family: 'Times New Roman','serif'; mso-ansi-language: EN;"><span style="font-size: xx-small;">.<a name="TEXT_Line_-_Dr_Grauer_PERSPECTIVE"></a> </span></span></span></p> <p><span style="font-size: large;"><strong><span style="font-family: Times New Roman; font-size: medium;"> Answer:</span></strong></span></p> <p><span style="font-size: large;"><span style="font-family: Times New Roman; font-size: medium;"><span style="font-size: large;"><span style="font-family: Times New Roman; font-size: medium;"><span style="font-family: 'Times New Roman','serif';">For my answer, please check out my FULL REVIEW on assessing ST Elevation from Early Repol vs Acute MI - GO TO: </span><a href="https://www.kg-ekgpress.com/ecg_-_early_repolarization/" target="_blank"><span style="color: darkblue; font-family: 'Times New Roman','serif'; text-decoration: none; text-underline: none;">https://www.kg-ekgpress.com/ecg_-_early_repolarization/</span></a><strong></strong></span></span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-family: 'Times New Roman','serif';">FOR ECG SHOWN HERE:&nbsp;&nbsp;&nbsp; Early Repol - OR - Anterior STEMI? The ANSWER in ECG BLOG #47 (</span><a href="http://ecg-interpretation.blogspot.com/2012/07/ecg-interpretation-review-47-normal.html" target="_blank"><span style="color: darkblue; font-family: 'Times New Roman','serif'; text-decoration: none; text-underline: none;">http://ecg-interpretation.blogspot.com/2012/07/ecg-interpretation-review-47-normal.html</span></a><span style="font-family: 'Times New Roman','serif';"> ).</span></p> <p class="MsoNormal" style="margin: 0in 0in 0pt;">&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> </div></div></div><div class="field field-name-field-taxonomy field-type-taxonomy-term-reference field-label-above"><div class="field-label">Related Terms:&nbsp;</div><div class="field-items"><div class="field-item even"><a href="/ecg/teaching-tips" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Teaching tips</a></div><div class="field-item odd"><a href="/ecg/early-repolarization" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Early Repolarization</a></div><div class="field-item even"><a href="/ecg/acute-mi" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Acute M.I.</a></div></div></div><ul class="links inline"><li class="addtoany first last"><span><span class="a2a_kit a2a_target addtoany_list" id="da2a_3"> <a class="a2a_dd addtoany_share_save" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ecgguru.com%2Fexpert-review%2Fhow-do-you-teach-early-repolarization-vs-acute-mi&amp;title=How%20Do%20You%20Teach%20Early%20Repolarization%20Vs.%20Acute%20M.I.%3F"><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Sun, 08 Jul 2012 17:51:52 +0000 Dawn 247 at https://www.ecgguru.com https://www.ecgguru.com/expert-review/how-do-you-teach-early-repolarization-vs-acute-mi#comments