The early repolarization ECG pattern – an update

István Adorján Szabó¹, Annamária Fárr², Ildikó Kocsis¹, Lehel Máthé³, László Szilágyi⁴, Atilla Frigy⁵

1 Department of Cardiology, Clinical County Hospital Mures, Tîrgu Mureş, Romania
2 Department of Physiopathology, University of Medicine and Pharmacy of Tîrgu Mureș, Romania
3 Department of Internal Medicine VII, University of Medicine and Pharmacy of Tîrgu Mureș, Romania
4 Sapientia University, Tîrgu Mureș, Romania
5 Department of Internal Medicine IV, University of Medicine and Pharmacy of Tîrgu Mureș, Romania

DOI: 10.1515/amma-2017-0032

Early repolarization pattern (ERP), a form of J-wave syndromes, was considered long time a benign ECG phenomenon. However, recent data confirmed that certain phenotypes of ERP are related to an increased risk of sudden cardiac death (idiopathic ventricular fibrillation). Our paper gives a short and practical update regarding the main issues related to ERP: epidemiological data, molecular and electrophysiological background, clinical significance and risk stratification. At the end, the future directions of research and clinical management related to ERP are presented.