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Publication date: 15 April 2025 Source: The American Journal of Cardiology, Volume 241 Author(s): Lisa Serati, Lucia Trotta, Enrica Negro, Antonio Brucato
Publication date: Available online 13 February 2025 Source: The American Journal of Cardiology Author(s): Tatsunori Takahashi, Debbie Lin Teodorescu, Wyleen Kniola, Daniel Luthringer, Siddharth Singh
Below is the first ECG, signed off by the over-reading cardiologist agreeing with the computer interpretation: ST elevation, consider early repolarization, pericarditis, or injury. Theres ST elevation in V3-4 which meets STEMI criteria, which could be present in either early repolarization, pericarditis or injury. What do you think?
Despite apparently hearing the above history together with two diagnostic ECGs and a troponin compatible with OMI, the cardiologist thought the ECG represented pericarditis and recommended echocardiogram. The emergency physician consulted cardiology. Several hours passed with no documentation as to the reason for delay.
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.
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