早期复极综合征(early repolarizationsyndrome,ERS)1936年首次为 Shiply 等报道,认为是正常心电图的变异。但由于此症的心电图变化多样,加上部分病人有不同程度的临床症状,以后的报告多数将此征误诊为器质性心脏病。经常把 ERS 误诊为急性心肌梗塞、急性心肌炎等而收住院治疗,给病人造成不必要的精神负担和经济损失。本文就ERS 的诊断及鉴别诊断如以介绍。 Early repolarization syndrome (ERS) was first reported by Shiply et al in 1936 and considered as a normal electrocardiogram variation. However, due to the diverse ECG changes, coupled with some patients have varying degrees of clinical symptoms, most of the subsequent reports of this syndrome is misdiagnosed as organic heart disease. Often misdiagnosed as ERS acute myocardial infarction, acute myocarditis, etc. admitted to hospital for treatment, causing unnecessary mental burden and economic losses to the patient. This article on the diagnosis and differential diagnosis of ERS as introduced.