Simon Jaroslav, Neuzil Petr
Kardiologické oddelení Komplexního kardiovaskulárního centra Nemocnice Na Homolce, Praha.
Cas Lek Cesk. 2011;150(4-5):236-9.
Syndrome of early repolarisation is a relatively not common electrocardiographic pattern with typically elevated J wave in most of the cases in lead II, III, aVF and V3-V6. There is increasing evidence that the early repolarisation might be associated with increased risk of sudden cardiac death in otherwise healthy individuals. Early repolarisation ECG pattern in inferolateral leads is associated with sudden death in younger otherwise healthy individuals. Identification of this risky group based on pure ECG criteria is still challenging but it must be considered in individuals with family history of sudden cardiac death or cardiac arrest.
早期复极综合征是一种相对不常见的心电图模式,在大多数情况下,II、III、aVF导联及V3-V6导联的J波通常升高。越来越多的证据表明,早期复极可能与健康个体心脏性猝死风险增加有关。下侧壁导联出现早期复极心电图模式与年轻健康个体的猝死有关。基于单纯心电图标准识别这一高危人群仍具有挑战性,但对于有心脏性猝死或心脏骤停家族史的个体必须予以考虑。