Benign early Repolarisation{BER}

• Young, healthy patients < 50 years of age.
• Also known as “high take-off” or “J-point elevation”.
• May mimic pericarditis or acute MI.

Jpoint

• Junction Btw QRS end to begining of ST segment

ECG Features of BER

• Widespread concave ST elevation, most prominent in the mid-to-left precordial leads (V2-5)
• Notching or slurring at the J point
• Prominent, slightly asymmetrical T waves that are concordant with the QRS complex
• ST elevation : T wave height ratio in V6 < 0.25 (see below)
• No reciprocal ST depression to suggest Occlusion MI