Remove 2017 Remove Hemorrhage Remove Pericarditis
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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

2017 Oct 1;177(10):1520-1522. In a patient with pericarditis — OR — a large heart on chest X-ray — OR — simply unexplained dyspnea ( as in the November 28, 2022 post) — recognition of electrical alternans should suggest the possibility of a significant pericardial effusion that may be associated with tamponade. J Am Coll Cardiol.

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A woman in her 20s with syncope

Dr. Smith's ECG Blog

The second most common cause of medical cardiac tamponade is acute idiopathic pericarditis. Less common etiologies include uremia, bacterial or tubercular pericarditis, chronic idiopathic pericarditis, hemorrhage, and other causes such as autoimmune diseases, radiation, myxedema, etc. 2017 Nov;35(4):525-537.

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Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

J waves can also be induced by Occlusion MI (5), STEMI mimics including takotsubo and myocarditis complicated by ventricular arrhythmias (6, 7), and subarachnoid hemorrhage with VF (8). CMAJ 2017 Vassallo SU, Delaney KA, Hoffman RS, et al. Indian Pacing Electrophysiol J 2004 Antzelevitch C, Yan G. J wave syndromes.

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