There is a recent small trial out of France which showed an increase in sudden cardiac death in otherwise healthy adults with early repolarization. These adults were survivors of ventricular fibrillation and were more likely to have this finding than not by almost 3:1 ratio. At this point it is uncertain how to workup such patients, although most will benefit from beta blockers. Probably and echocardiogram and an event monitor to document any arrhythmias but apart from that the decision for the placement of an ICD has to be individualized to that particular patient.
oh and i should mention i have these symptoms I keep having these episodes where i begin feeling weak and I feel nauseated and get near syncope I don't know what brings it on. It just happens randomly. And then goes away I get dizzy and some times chest discomfort on the left side, in the center and up near the coller bone and shoulder. i have had the following tests
upper gi series
30 day event monitors
all come back pretty much ok except for the Early Repolarization . No one can seem to tell me where these symptoms come from. Are they related to Early Repolarization?? i have an hiatal hernia and they keep tellin me thats where my is comfort is comming from what do you think???
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