[Differential diagnosis of early repolarization syndrome in patients with ST-segment elevation: report of 5 cases].
OBJECTIVE
To explore the differential diagnosis of early repolarization syndrome (ERS) in patients with ST-segment elevation and its clinical significance.


METHODS
Five patients with ESR were clinically observed and followed up after discharge from hospital.


RESULTS
All the patients complained of chest distress or chest pain, accompanied by ST-segment elevation in the precordial electrocardiogram leads.


CONCLUSIONS
ESR is often misdiagnosed as acute myocardial infarction, acute coronary syndrome, Brugada syndrome or other diseases that may involve elevated ST-segment, and careful examination of the ECGs, echocardiogram, troponin I and the patients' history of heart diseases may help differentiate ESR from these diseases.
Guo
Zhi-Gang
ZG
Department of Cardiovascular Diseases, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.
Peng
Jian
J
Meng
Su-Rong
SR
Wang
Peng
P
D000328:Adult; D015415:Biomarkers / Q000032:analysis; D002637:Chest Pain / Q000175:diagnosis; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006331:Heart Diseases / Q000175:diagnosis* / Q000378:metabolism; D006801:Humans; D008297:Male; D013577:Syndrome; D019210:Troponin I / Q000032:analysis
D015415:Biomarkers; D019210:Troponin I