Remove 2014 Remove Coronary Angiogram Remove Pericarditis
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ECG Blog #365 — A 30yo with Pericarditis.

Ken Grauer, MD

Hospital evaluation for this patient was negative for an acute coronary syndrome ( ie, CT coronary angiogram was normal — troponin was not elevated — and Echo was negative, with no sign of pericardial effusion ). The ultimate discharge diagnosis was acute pericarditis. ( Figure-1: The initial ECG in today's case.

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A man in his late 30s with acute chest pain and ST elevation

Dr. Smith's ECG Blog

There is a reasonable chance of pericarditis in this case, or this could be a baseline." Sadly, I did not receive enough information to adjudicate whether this patient has pericarditis or not. I sent this to Dr. Smith and this was his response: "Likely pericarditis, but that is perilous. I immediately responded: "cool fake!