Dr. Smith's ECG Blog

JUNE 19, 2024

The undergraduate continues: This new EKG pattern is more suggestive of acute pericarditis. Usually with pericarditis, some degree of PR segment depression is expected. This is typical of pericarditis. But, as I always say, you diagnose pericarditis at your peril. This EKG seems to lack it.

Chest Pain 60

Chest Pain Pericarditis Pacemaker STEMI 60

The American Journal of Cardiology

DECEMBER 11, 2024

Publication date: Available online 10 December 2024 Source: The American Journal of Cardiology Author(s): Rehan Karmali, Issam Motairek, Samia Mazumder, Felix Berglund, Lorenzo Braghieri, Astefanos Al-Dalakta, Katherine Singh, Brittany Weber, Allan Klein

Pericarditis 40

Pericarditis 40

Dr. Smith's ECG Blog

APRIL 9, 2024

It is easy to say pericarditis in such a case. young male no risk factors and ST-elevation in several leads) As Dr. Smith has emphasized many times you diagnose pericarditis at your patient's and your own peril. Version 1 was not trained to detect myo- or pericarditis. The above ECG was recorded. How did the Queen do?

Chest Pain 108

Chest Pain Pericarditis Blog Tachycardia 108

DAIC

MARCH 28, 2024

milla1cf Thu, 03/28/2024 - 07:28 March 28, 2024 — Biosense Webster, Inc., patients, were presented as a late-breaker at the 2024 AF Symposium. In Europe, the TRUPULSE generator received CE mark in late 2023 and the VARIPULSE Catheter received CE mark in February 2024. Food & Drug Administration ( FDA ). In the U.S.,

Atrial Fibrillation 110

Atrial Fibrillation AFIB Ablation Pulmonary 110

Dr. Smith's ECG Blog

MAY 27, 2024

Int J Cardiol 2024 2. ST depression in lead AVL differentiates inferior ST-elevation myocardial infarction from pericarditis. Eur Herat J Digital Health 2024 OMI ECG findings can lead to rapid diagnosis, and can be widely disseminated through AI References 1. De Alencar Neto. Nikus et al. Curr Cardiol Red 2021 3. Kontos et al.

Chest Pain 122

Chest Pain STEMI Myocardial Infarction Ischemia 122

Dr. Smith's ECG Blog

AUGUST 6, 2024

These latter findings are typical of pericarditis, but pericarditis never has reciprocal ST depression. Usually with pericarditis and myocarditis — hyperacute T waves (HATW) are not present. S mith : there is STE in lead III and reciprocal STD in aVL. This is OMI until proven otherwise.

Chest Pain 104

Chest Pain Ischemia Pericarditis Tachycardia 104

Dr. Smith's ECG Blog

JUNE 17, 2024

Accessed May 28, 2024. Dyspnea, Chest pain, Tachypneic, Ill appearing: Bedside Cardiac Echo gives the Diagnosis 31 Year Old Male with RUQ Pain and a History of Pericarditis. Electrocardiographic Differentiation Between Acute Pulmonary Embolism and Acute Coronary Syndromes on the Basis of Negative T Waves - ScienceDirect.

Chest Pain 138

Chest Pain Embolism Pulmonary Tachycardia 138

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4139677-A4139677, November 12, 2024. Postoperative recovery was successful, with no further hemoptysis, and the patient was discharged to a rehabilitation facility.Discussion:EPDs are no longer used due to high failure rates and complications like scar formation and constrictive pericarditis.

Defibrillator 40

Defibrillator Cardiac Arrest Sudden Cardiac Death Coronary Angiogram 40

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

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. : A Child with Blunt Trauma -- See how the ECG can be definite for myocardial contusion, but subtle, and what happens if you miss it.

Tachycardia 115

Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia 115

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

Then the patient's pain then resolved spontaneously after 2 sublingual nitroglycerine and another ECG was recorded ECG 2 at 16 minutes ST ELEVATION CONSISTENT WITH INJURY, PERICARDITIS, OR EARLY REPOLARIZATION Overread same Smith : The T-waves are now MUCH smaller. The S-wave is reconstituted. The inferior findings are much less pronounced.

Chest Pain 115

Chest Pain Myocardial Infarction STEMI Pericarditis 115

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

You can easily imagine this patient getting one of several diagnoses -- vasospasm, MINOCA , pericarditis, or maybe even no diagnosis at all beyond "non-obstructive coronary artery disease." In a large proportion of cath labs, the operator would probably have ended the case at this point.

Plaque 66

Plaque Stents Stent Chest Pain 66

Dr. Smith's ECG Blog

JANUARY 15, 2024

The "flu-like" illness suggests myo- or pericarditis, but that would be a diagnosis of exclusion. The scale is wrong. == MY Comment , by K EN G RAUER, MD ( 1/14/ 2024 ): == I was not taught about artifact in either medical school or during my residency. Do not wait for the troponin; a lot of myocardium will be dead if you do.

Chest Pain 64

Chest Pain Blog Arrhythmia Critical Care 64

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4141403-A4141403, November 12, 2024. To-date no larger studies have assessed sub-clinical myocardial mechanics in acute tuberculous pericarditis (ATBP) and age/sex/ethnic differences, and synergistic-prognostic association of these parameters with patients' outcomes (survival).Aim:To

Pericarditis 40

Pericarditis Biomarkers Heart Failure Outcomes 40

Dr. Smith's ECG Blog

JANUARY 17, 2024

The initial computer and final cardiology interpretation was a differential: “ST elevation, consider early repolarization, pericarditis, or injury.” But STEMI criteria ignore all this and look at ST segments in isolation. Based on STEMI criteria and unhelpful computer interpretation, the patient was rushed to the cath lab.

Chest Pain 118

Chest Pain STEMI Myocardial Infarction Blog 118

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

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.

Chest Pain 89

Chest Pain Pericarditis Myocardial Infarction Dementia 89

Dr. Smith's ECG Blog

NOVEMBER 30, 2024

In addition, ischemic STD in aVL is highly sensitive for inferior OMI, and excludes pericarditis. for both pericarditis and normal variant, the vector results in more STE in II than III, and absence of STD in aVL. It means that, if there is STD in aVL, then it is almost certainly not pericarditis (but could be myocarditis).

STEMI 118

STEMI Chest Pain Pericarditis Coronary Artery Disease 118

Dr. Smith's ECG Blog

NOVEMBER 21, 2024

Dyspnea, Chest pain, Tachypneic, Ill appearing: Bedside Cardiac Echo gives the Diagnosis 31 Year Old Male with RUQ Pain and a History of Pericarditis. Submitted by a Med Student, with Great Commentary on Bias! Chest pain, SOB, Precordial T-wave inversions, and positive troponin. What is the Diagnosis?

Chest Pain 112

Chest Pain Embolism Pulmonary Tachycardia 112

Dr. Smith's ECG Blog

JANUARY 9, 2025

See here for young women with OMI == MY Comment , by K EN G RAUER, MD ( 12/24 /2024 ): == I found today's case challenging and an excellent example of how despite my not being certain of the diagnosis from the history and initial ECG careful follow-up yielded the answer. Smith : I recognize this as a STEMI mimic. I was not alarmed.

Chest Pain 106

Chest Pain Ischemia Dysrhythmia Arrhythmia 106