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Chest pain: Are these really "Nonspecific ST-T wave abnormalities", as the cardiologist interpretation states?

Dr. Smith's ECG Blog

ST depression in lead AVL differentiates inferior ST-elevation myocardial infarction from pericarditis. Ann Noninvasive Electrocardiol 2010 7. Kontos et al. J Am Coll Cardiol 2022 4. Bischof et al. Am J Emerg Med 2016 5. Meyers et al. J Am Heart Assoc 2021 6. Phibbs and Nelson. Meyers et al. IJC Heart and Vasc 2021 8. Herman et al.

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A young woman in her early 20s with syncope

Dr. Smith's ECG Blog

She was diagnosed with pericarditis and spent one day in the hospital without events. Much more classic findings of pericarditis. Learning Points: Pericardial effusion is a key piece of information for the diagnosis and prognosis of pericarditis. Another ECG was performed, and this time was noted to be markedly abnormal.

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Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

Heart Rhythm 2010 Hudzik B, Gasior M. Prominent J waves and ventricular fibrillation caused by myocarditis and pericarditis after BNT162b2 mRNA COVID-19 vaccination. Indian Pacing Electrophysiol J 2004 Antzelevitch C, Yan G. J wave syndromes. J-waves in hypothermia. CMAJ 2017 Vassallo SU, Delaney KA, Hoffman RS, et al.

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