"Early repolarisation": The diagnostic pitfall of atypical ST elevation.

The authors report the case of a coloured man who was treated with intraven ous thrombolysis for chest pain and " atypical " ST elevation related to ea rly repolarisation. The interest of this case is to underline the electrocardiographic criteria of early repolarisation and to propose, in appropriate conditions of manag ement, emergency coronary angiography in patients with an uncertain diagnos is of infarct-like chest pain associated with suspicious electrocardiograph ic changes.