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40 Possible Causes for Early Repolarization, Retrosternal Chest Pain

  • 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[…][]

  • Acute Pericarditis

    ECG changes of both acute myocardial infarction and early repolarization can appear similar to ECG changes of acute pericarditis.[] After 90 hours of 5-fluorouracil infusion, he developed severe retrosternal chest pain.[] ST segment / T wave ratio: In acute Pericarditis, T wave has normal amplitude, but are usually peaked in early repolarization. An ST/T ratio early repolarization.[]

  • Anterior Myocardial Infarction

    BACKGROUND: Early repolarization (ER) and acute left anterior descending artery occlusion (LADO) may be difficult to distinguish.[] A 58-year- old male presented with severe retrosternal chest and back pain radiates to his left arm for 20 hours was admitted to our coronary care unit.[] He presented with the combined electrocardiographic abnormality of the Brugada-like or early repolarization pattern, which was misdiagnosed as acute anterior myocardial infarction[]

  • Ventricular Fibrillation

    Prominent early repolarization pattern was the most likely trigger of the VF storm in this Brugada patient.[] Patients presenting with aborted cardiac arrest who display early repolarization generally are diagnosed with early repolarization syndrome.[] Standard twelve-lead follow-up ECGs revealed early repolarization pattern and an intermittent coved type ST elevation.[]

  • Posterior Myocardial Infarction

    In some cases the slope is downward (convex), which can be confused with early repolarization.[] The chest pain is intense, lasts for more than 30- 60 minutes, is located in the retrosternal area and may radiate to the jaw, neck, epigastrium, left shoulder, arm or the[] Electrocardiographic differentiation of early repolarization from subtle anterior ST-segment elevation myocardial infarction. Ann Emerg Med 2012; 60 :45–56. 5.[]

  • Pericarditis

    repolarization is present, meaning the T wave in early repolarization is usually 4 times the amplitude of the ST segment elevation.[] We report a rare case of a mediastinal malignant granular cell tumor in a 41-year-old man presenting with dyspnea, retrosternal chest pain, and recurrent pericardial effusion[] Symptoms include sharp, severe retrosternal chest pain worse with inspiration and a supine position. The classic physical finding is a pericardial friction rub.[]

  • Acute Atrial Infarction

    Spodick DH: Differential characteristics of the electrocardiogram in early repolarization and acute pericarditis. N Engl J Med 1976;295:523-526. Crossref 4.[] chest pain.[] The other normal variant that may be associated with prominent T wave inversion is the early repolarization pattern.[]

  • Variant Angina Pectoris

    The inducibility of polymorphic ventricular tachycardia or ventricular fibrillation, increased QT dispersion, T‐wave alternans, and early repolarization during the asymptomatic[] Fifteen minutes after a renal arteriogram (May 7) was performed, the patient had severe retrosternal chest pain associated with hypotension and bradycardia.[] The inducibility of polymorphic ventricular tachycardia or ventricular fibrillation, increased QT dispersion, T-wave alternans, and early repolarization during the asymptomatic[]

  • Lateral Wall Myocardial Infarction

    Benign Early Repolarization (BER): Benign early repolarization usually represents a normal variant most often seen in young, healthy patients.[] Repolarization, Juvenile T Waves, Nonspecific ST and/or T Wave Abnormalities, ST and/or T Wave Abnormalities Suggesting Myocardial Ischemia, ST and/or T Wave Abnormalities[] There are only a few times that I recall isolated J point elevation that looks more like early repolarization but really occurred during acute chest pain from an anterior[]

  • Acute Myocardial Infarction

    Cardiac differential diagnosis With respect to other cardiac disease diagnoses, aortic dissection, pericarditis, left ventricular aneurysm, and early repolarization are all[] A 34-year-old woman was taken to the Emergency Department of our hospital, presenting with a sudden onset and persistent retrosternal chest pain radiating to both upper extremities[] CASE REPORT A 72-year-old male was admitted to our department with a chief complaint of intermittent retrosternal chest pain and was diagnosed with extensive anterior myocardial[]

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