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However, if you freeze the ultrasound clip and scroll forwards and backwards to find a time during the clip where the patient’s mitral valve is open, you know the heart is filling, and is therefore in diastole. The second most common cause of medical cardiac tamponade is acute idiopathic pericarditis. 2013 Sep;26(9):965-1012.e15.
The exception is with postinfarction pericarditis , in which a completed transmural infarct results in inflammation of the subepicardial myocardium and STE in the distribution of the infarct, and which results in increased STE and large upright T-waves. These findings together are more commonly seen with pericarditis.
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