Key result
Early repolarisation has emerged as a marker of risk for sudden death and ventricular arrhythmia, though current data is insufficient for risk stratification in asymptomatic individuals.
Early repolarization, previously considered benign, is now recognized as a risk marker for sudden death and ventricular arrhythmias, though current data cannot yet guide risk stratification in asymptomatic patients.
Caution against using early repolarization for risk stratification in asymptomatic patients; leaves open its prognostic role pending prospective data.
Early repolarisation was previously considered a benign variant but in recent years has emerged as a marker of risk for sudden death. In part, this appears to reflect a change in the definition. ECG territory, degree of J-point elevation and ST-segment morphology are associated with different degrees of risk for subsequent ventricular arrhythmia. At present the dataset is insufficient to allow risk stratification in asymptomatic individuals and further epidemiological and mechanistic research is required.
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Bastiaenen et al. (2012) conducted a review in Early repolarisation. Early repolarisation was evaluated on Sudden death and ventricular arrhythmia. Early repolarisation has emerged as a marker of risk for sudden death and ventricular arrhythmia, though current data is insufficient for risk stratification in asymptomatic individuals.
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