ERS pattern in ECG : New-onset “ Iatrogenic panic ” is unwarranted !

This is an ECG of a 25-year-old, recorded in master health check-up.  It was reported as ERS pattern of concern. When he went for an expert opinion, he was suggested to understand, there is a small risk of SCD. That’s it, the panic has set in already, which got amplified in the following conversation.. How small is the risk,?  he wanted to know. Yours’ is possibly an intermediate risk. Intermediate means what?  Do I have any genetic or EP studies to predict the risk accurately? Sorry, we have some gene mapping but all primitive. We aren’t sure. But keep calm, nothing will happen. Do I need to screen my parents ? No, but if you are anxious you may take an ECG for them  If they also show the same pattern, it becomes more significant, is it not doctor? Hmm yes, maybe. This is a brief story of this young man, whose life was made miserable by the apparently widening knowledge base of cardiologists ERS: A brief opinionated review The term early repolarisation in ECG is used for more than half a century. It’s about the behavior of the Ito channel, at the left shoulder of the action potential, when phase 0 hands over the baton to 1, at the onset of repolarisation. The problem is the rapidity with which K+ exit from the cell, which is heavily influenced by genetic control. Not only that, the ratio of epi vs endocardial density of these Ito channels determines, the timing, magnitude, and shape, of the J point.  It would be mind-bo...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Uncategorized ers pattern in ecg ERS syndrome Source Type: blogs