ECG Case 86: Benign Early Repolarization

ECG Intepretation

  • Sinus rhythm, rate 63/min
  • Normal axis
  • Normal QRS complexes
  • Raised ST segments in leads II, V2–V6

Benign Early Repolarization
Benign Early Repolarization

Clinical Interpretation

If we use the Subtle Anterior STEMI Calculator (4-Variable) that differentiates normal variant ST elevation (benign early repolarization) from anterior STEMI we will get a result that is in favor of normal variant ST elevation (benign early repolarization).

What to do next?

If the patient has chest pain that appears to be pleuritic, then pulmonary rather than cardiac causes of pain should be considered – infection, pulmonary embolus and pneumothorax.