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Europace Advance Access published online on October 22, 2008
Europace, doi:10.1093/europace/eun279
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATION

Early repolarization phenomenon in arrhythmogenic right ventricular dysplasia–cardiomyopathy and sudden cardiac arrest due to ventricular fibrillation

Stefan Peters1,* and Daniela Selbig2

1 Asklepios Harzkliniken GmbH Goslar, Cardiology and Intensive Care, Kösliner Street 12, 38642 Goslar, Germany; 2 Klinikum Quedlinburg, Cardiology, Quedlinburg, Germany

The case of a 26-year-old male with sudden cardiac arrest due to ventricular fibrillation and the final diagnosis of arrhythmogenic right ventricular dysplasia–cardiomyopathy (ARVD/C) and initial early repolarization phenomenon is presented in detail. An additional analysis of early repolarization in additional 359 patients with ISFC/ESC diagnostic criteria of ARVD/C revealed a frequency within the threshold in healthy volunteers with 3% in isolated lateral leads and 7% in inferolateral leads. The high frequency of electrocardiographic early repolarization limited to inferior leads (22%) is probably due to late depolarization and represents an already reported typical feature of ARVD/C.

Key Words: Arrhythmogenic right ventricular dysplasia-cardiomyopathy, Early repolarization, Late depolarization

* Corresponding author. Tel: +49 5321 44 1400. E-mail address: ste.peters{at}asklepios.com

Manuscript submitted 18 July 2008. Accepted after revision 15 September 2008.


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