Arrhythmias & electrophysiology

Significance of left posterior extension of early repolarization in patients with J-wave syndrome

Heart RhythmPublished Observational study

Authors' conclusion

Posterior J waves are common in ERS patients.

Study context

Population
Patients diagnosed with early repolarization syndrome (ERS)
Participants
40 patients
Outcome
Incidence of J waves in inferolateral and posterior leads (15-lead electrocardiographic (ECG) with synthesized V7-V9 and 87-lead body surface mapping)

Main finding

As reported in the abstract

J waves by lead region

J waves in lateral leads

26

65%

J waves in inferior leads

31

78%

J waves in posterior leads

39

97%

J waves only in posterior leads

5

Observational data: associations, not effects.

Further findings

Body surface mapping

Patients evaluated with body surface mapping (BSM), all with positive area on posterior region
9

Premature ventricular complexes (PVCs) associated with ventricular fibrillation (VF)

Patients with VF-associated PVCs recorded
5
Among patients with inferolateral and posterior J waves, PVCs originated from posterior LV region in all except 1 (left bundle branch block morphology)

Original publication

Significance of left posterior extension of early repolarization in patients with J-wave syndrome. Heart Rhythm. Published 25 August 2023. doi:10.1016/j.hrthm.2023.08.032

Composed by AI from the published abstract and checked against it. How Briefs are made →

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