article thumbnail

"Pericarditis" strikes again

Dr. Smith's ECG Blog

mm has been described in normal subjects) Overall impression: In my opinion and experience, this ECG most likely represents a normal baseline ECG, but with a small chance of pericarditis instead. I texted this to Dr. Smith without any information, and this was his reply: "This could be pericarditis but probably is normal variant."

article thumbnail

Prevalence of Pericardial Late Gadolinium Enhancement in Patients After Cardiac Surgery: Clinical and Histological Correlations

Circulation: Cardiovascular Imaging

BACKGROUND:Pericardial late gadolinium enhancement (LGE) is usually associated with active pericarditis, but it is not infrequently found in patients after cardiac surgery even a long time after the intervention. All patients were asymptomatic, and no specific treatment for pericarditis was started.

article thumbnail

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. Prac 15(17), 2017. Below you will see serial ECGs from that hospitalization.

article thumbnail

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.

article thumbnail

Auscultating Cardiac Surgery in the DR Congo

Global Cardiac Surgery

Once they returned in 2017, the team performed open heart surgeries on two patients (Ventricular Septal Defect and Mitral Valve Replacement). Together, they have operated nine Patent Ductus Arteriosus and two Chronic Constrictive Pericarditis between 2012 and 2015.

article thumbnail

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. 2013.06.023.

article thumbnail

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.