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10 Possible Causes for Early Repolarization, Pupillary Abnormality

  • Cocaine Abuse

    Effects of cocaine abuse on the oral mucosa are still poorly defined. Herein, a case of an 18-year-old male patient with a 15-day history of persistent painful ulcers and aphthous lesions of unknown etiology and with no other remarkable manifestations, is presented. All of the laboratory tests performed showed to[…][ncbi.nlm.nih.gov]

  • Syncope

    Why is ‘Benign’ early repolarization not a benign condition in patients with syncope? Which children with syncope should be admitted? and many more….[emergencymedicinecases.com] […] reflex 2016 2017 2018 2019 Billable/Specific Code Type 2 Excludes abnormal pupillary reflex ( H57.0 ) hyperactive gag reflex ( J39.2 ) vasovagal reaction or syncope ( R55[icd10data.com] Consider referring these patients to cardiology if they present with syncope. 2016 Update: 10 things to know about the AHA Statement on Benign Early Repolarization Differential[emergencymedicinecases.com]

  • Intracranial Hemorrhage

    Snapshot A 51-year-old man presents to the emergency department due to headache, nausea, and pupillary abnormalities after a physical altercation.[step1.medbullets.com] In one woman, immediately before death, early repolarization was recorded.[ncbi.nlm.nih.gov] […] eye movement or alignment, abnormal pupillary response, and abnormal neuromotor examination (hypotonia, decresased motility, tight popliteal angle). [ 1 , 3 ] The pattern[intechopen.com]

  • Hyperthyroidism

    […] pauses, esophageal dysmotility, abnormal pupillary light response, and temperature dysregulation, to name a few.[ncbi.nlm.nih.gov] In addition to hypoventilation, patients with CCHS display a wide array of autonomic nervous system abnormalities, including decreased heart rate variability and abrupt sinus[ncbi.nlm.nih.gov]

  • Carotid Sinus Syncope

    […] reflex 2016 2017 2018 2019 Billable/Specific Code Type 2 Excludes abnormal pupillary reflex ( H57.0 ) hyperactive gag reflex ( J39.2 ) vasovagal reaction or syncope ( R55[icd10data.com] In patients with syncope, the clinical significance of the early repolarization pattern is unknown. Recommendations for Early Repolarization Pattern 5.[ahajournals.org] 10/1/2017) : No change 2019 (effective 10/1/2018) : No change Code annotations containing back-references to R55 : Type 2 Excludes: R29.2 ICD-10-CM Diagnosis Code R29.2 Abnormal[icd10data.com]

  • Degenerative Disorder

    No telangiectasia was found on skin or mucus membrane, nor were skeletal abnormalities detected.[jmg.bmj.com] Most individuals with CLN3 disease live until the late teens or early 20s; some may live into their 30s.[ncbi.nlm.nih.gov] Visual acuity was normal, as were the pupillary responses, fundoscopy of the optic discs and retina, and slit lamp examination.[jmg.bmj.com]

  • Haff Syndrome

    […] reflex 2016 2017 2018 2019 Billable/Specific Code Type 2 Excludes abnormal pupillary reflex ( H57.0 ) hyperactive gag reflex ( J39.2 ) vasovagal reaction or syncope ( R55[icd10data.com] ABCC9 is a novel Brugada and early repolarization syndrome susceptibility gene.[ncbi.nlm.nih.gov] R20.8 ICD-10-CM Diagnosis Code R20.8 Other disturbances of skin sensation 2016 2017 2018 2019 Billable/Specific Code Hyper-reflexia R29.2 ICD-10-CM Diagnosis Code R29.2 Abnormal[icd10data.com]

  • Familial Progressive Cardiac Conduction Defect

    Long-term outcome associated with early repolarization on electrocardiography. N Engl J Med 2009; 361: 2529–37.[aerjournal.com] CFEOM2 is an autosomal recessive disorder characterized by congenital bilateral exotropic ophthalmoplegia and ptosis, with pupillary abnormalities, in particular miosis.[reviewofophthalmology.com] A clinical approach to early repolarization. Circulation. 2013;127:1620-9.[itaca.edu.es]

  • Storm Syndrome

    Patients have severe postural hypotension, bowel and bladder retention, anhidrosis, decreased salivation and lacrimation, and pupillary abnormalities.[emedicine.medscape.com] Spontaneous type 1 ECG, syncope, early repolarization pattern, age (the elderly is at lower risk), and SCN5A mutation (pore lesion) were also associated with higher risk.[ijcva.com] Another gene associated with BrS is KCNJ8, which was previously related to early repolarization syndrome and a marker of gain-of-function in the cardiac K (ATP) Kir6.1 channel[ijcva.com]

  • CK Syndrome

    Patients have severe postural hypotension, bowel and bladder retention, anhidrosis, decreased salivation and lacrimation, and pupillary abnormalities.[emedicine.medscape.com] Association of early repolarization with long-term mortality and major adverse cardiac events in patients with ST-segment elevation myocardial infarction.[journals.lww.com] repolarization syndrome, and ventricular fibrillation.[journals.lww.com]

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