Abstract An abnormal electrocardiographic pattern of altered repolarization is described in eight cases. The common finding is an elevation of the R(R′)-T segment over the right side of the precordium, with varying shapes and with varying degrees of extension to the left. While some degree of delay in the excitation of the right ventricular free wall is frequently noted, this is not always the case. The abnormal findings are constant and they are associated with a normal morphologic and functional status of the heart. The abnormal electrocardiographic finding may be misinterpreted as evidence for acute myocardial injury.