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Fate of coronary arteries in Constrictive pericarditis

Dr. S. Venkatesan MD

Inflammatory pericarditis can occur in differential fashion. For example, the most common chronic pericarditis tuberculosis affects the fibrinous layer. Post MI pericarditis involves the epicardium. Diastolic Coronary Artery Compression in Constrictive Pericarditis. Angina caused by calcific constrictive pericarditis.

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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. Am J Emerg Med 2016 5. Kontos et al. J Am Coll Cardiol 2022 4. Bischof et al. Meyers et al.

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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea Head On Motor Vehicle Collision. 2016, April 13). Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated. ST depression. Zangouri, V.,

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Occlusion myocardial infarction is a clinical diagnosis

Dr. Smith's ECG Blog

Recall from this post referencing this study that "reciprocal STD in aVL is highly sensitive for inferior OMI (far better than STEMI criteria) and excludes pericarditis, but is not specific for OMI." St depression in lead AVL differentiates inferior st-elevation myocardial infarction from pericarditis. Circulation , 130 (25).

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Inferior ST Elevation: what is the Diagnosis?

Dr. Smith's ECG Blog

T-wave to ST ratio is greater than 4 in lead V6, making pericarditis unlikely (also there were no symptoms of pericarditis). N Engl J Med 2008;358(19):2016-23. There is ST elevation diffusely: 2 mm in V2, 3.5 mm in V3, 2.5 mm in V4, 1.5 mm in V5, and 1 mm in V6, 1.5 mm in lead II, 1 mm in leads III and aVF.

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A 50-something with left shoulder pain and diffuse ST elevation

Dr. Smith's ECG Blog

Fortunately, there was an ECG from about a year prior: And here is one from about 10 years prior: You can see here that the computer says "suggests pericarditis" but that I changed it to early repolarization. Just because there is diffuse ST elevation does NOT mean it is pericarditis.

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Brugada Syndrome: Diagnosis and Risk Stratification

All About Cardiovascular System and Disorders

They include myocardial ischemia, acute pericarditis, pulmonary embolism, external compression due to mass over the right ventricular outflow tract region, and metabolic disorders like hyper or hypokalemia and hypercalcemia. Shanghai Score was arrived at in a consensus conference held in 2016. 2016 Oct;13(10):e295-324.