pericarditis
Differences
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| pericarditis [2025/09/01 11:23] – [ED Mx of suspected acute "viral" pericarditis or recurrent pericarditis] gary1 | pericarditis [2025/10/17 22:30] (current) – [ECG changes in acute pericarditis] gary1 | ||
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| ===distinguish acute pericarditis from early repolarization=== | ===distinguish acute pericarditis from early repolarization=== | ||
| + | *PR depression is suggestive of pericarditis (but can occur in STEMI) | ||
| *ST elevation occurs in BOTH limb leads and precordial leads in pericarditis whereas 50% with early repolarization have no ST deviations in the limb leads | *ST elevation occurs in BOTH limb leads and precordial leads in pericarditis whereas 50% with early repolarization have no ST deviations in the limb leads | ||
| *PR and ST/T wave evolutionary changes do not occur in early repolarization | *PR and ST/T wave evolutionary changes do not occur in early repolarization | ||
| *ratio of ST elevation to T wave amplitude in lead V6 > 0.24 indicates pericarditis (([[http:// | *ratio of ST elevation to T wave amplitude in lead V6 > 0.24 indicates pericarditis (([[http:// | ||
| + | *presence of Spodick sign suggests pericarditis | ||
| + | * downward sloping T-P segment esp. seen in II and lateral leads but only in 30% of patients (but also occurs in 5% of those with STEMI) - [[https:// | ||
| ====ECG changes in chronic pericarditis==== | ====ECG changes in chronic pericarditis==== | ||
pericarditis.txt · Last modified: 2025/10/17 22:30 by gary1