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The Israel Association for Emergency Medicine

Podcast : Early Repolarization vs. Anterior STEMI

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Jan 30, 2023

Contributor: Travis Barlock, MD

Educational Pearls:

  • Early repolarization a benign EKG pattern that can mimic an anterior STEMI
  • Can be seen in the anterior leads typically in young male patients
  • Can differentiate Early Repolarization vs Anterior STEMI by looking at four variables:
    • Corrected QT interval
    • QRS amplitude in V2
    • R wave amplitude in V4
    • ST elevation 60 ms after J point in V3
  • These four variables can be plugged into a formula (available on MDCalc)
  • Note that a longer QT is more corelated with STEMI
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