Similarities and differences of clinical characteristics between Brugada syndrome and early repolarization syndrome

Early repolarization (or J wave) is a common electrocardiographic finding that occurs in 1% to 10% of healthy persons. It has been generally considered benign for decades. However, there is increasing evidence showing that early repolarization is associated with the susceptibility to ventricular fib...

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Main Authors: Hiroshi Watanabe, Tohru Minamino
Format: Article
Language:English
Published: Wiley 2013-04-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427613000148
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author Hiroshi Watanabe
Tohru Minamino
author_facet Hiroshi Watanabe
Tohru Minamino
author_sort Hiroshi Watanabe
collection DOAJ
description Early repolarization (or J wave) is a common electrocardiographic finding that occurs in 1% to 10% of healthy persons. It has been generally considered benign for decades. However, there is increasing evidence showing that early repolarization is associated with the susceptibility to ventricular fibrillation and sudden cardiac death. Therefore, early repolarization syndrome, or J-wave syndrome, has recently been proposed as a new disease entity. Brugada syndrome is characterized by ST-segment elevation in the right precordial leads (V1 to V3) of a 12-lead electrocardiogram, and is another form of idiopathic ventricular fibrillation associated with J-point elevation. Brugada syndrome and early repolarization syndrome share genetic, clinical, and electrophysiological characteristics, such as causative genes, male dominance, pause-dependent augmentation of J-point elevation, and response to drugs. However, these two diseases also have certain differences. This review focuses on the similarities and differences between Brugada syndrome and early repolarization syndrome, both of which are associated with J-point elevation and sudden cardiac death.
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spelling doaj.art-3e98223d41ad433ca8f78e22b67a6af42022-12-21T23:25:14ZengWileyJournal of Arrhythmia1880-42762013-04-0129213413710.1016/j.joa.2013.01.007Similarities and differences of clinical characteristics between Brugada syndrome and early repolarization syndromeHiroshi WatanabeTohru MinaminoEarly repolarization (or J wave) is a common electrocardiographic finding that occurs in 1% to 10% of healthy persons. It has been generally considered benign for decades. However, there is increasing evidence showing that early repolarization is associated with the susceptibility to ventricular fibrillation and sudden cardiac death. Therefore, early repolarization syndrome, or J-wave syndrome, has recently been proposed as a new disease entity. Brugada syndrome is characterized by ST-segment elevation in the right precordial leads (V1 to V3) of a 12-lead electrocardiogram, and is another form of idiopathic ventricular fibrillation associated with J-point elevation. Brugada syndrome and early repolarization syndrome share genetic, clinical, and electrophysiological characteristics, such as causative genes, male dominance, pause-dependent augmentation of J-point elevation, and response to drugs. However, these two diseases also have certain differences. This review focuses on the similarities and differences between Brugada syndrome and early repolarization syndrome, both of which are associated with J-point elevation and sudden cardiac death.http://www.sciencedirect.com/science/article/pii/S1880427613000148ArrhythmiaVentricular fibrillationElectrocardiogramGeneticsTreatment
spellingShingle Hiroshi Watanabe
Tohru Minamino
Similarities and differences of clinical characteristics between Brugada syndrome and early repolarization syndrome
Journal of Arrhythmia
Arrhythmia
Ventricular fibrillation
Electrocardiogram
Genetics
Treatment
title Similarities and differences of clinical characteristics between Brugada syndrome and early repolarization syndrome
title_full Similarities and differences of clinical characteristics between Brugada syndrome and early repolarization syndrome
title_fullStr Similarities and differences of clinical characteristics between Brugada syndrome and early repolarization syndrome
title_full_unstemmed Similarities and differences of clinical characteristics between Brugada syndrome and early repolarization syndrome
title_short Similarities and differences of clinical characteristics between Brugada syndrome and early repolarization syndrome
title_sort similarities and differences of clinical characteristics between brugada syndrome and early repolarization syndrome
topic Arrhythmia
Ventricular fibrillation
Electrocardiogram
Genetics
Treatment
url http://www.sciencedirect.com/science/article/pii/S1880427613000148
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