Remove Aneurysm Remove Pericarditis Remove Stenosis
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Case Report: Heart aneurysm of unknown origin in a two-year-old child diagnosed in the course of Multisystem Inflammatory Syndrome in Children

Frontiers in Cardiovascular Medicine

We present a case of a 22-month-old boy with a hypokinetic and thin-walled aneurysm of the left ventricle apex. Cardiac magnetic resonance imaging revealed an akinetic aneurysm of the LV apex with a full-wall ischemic scar. Determining the origin of the aneurysm is challenging.

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Watch what happens when "pericarditis" and morphine cloud your judgment

Dr. Smith's ECG Blog

06:44 - T-waves in V2 are smaller now - Overall resolution of prior findings (which qualifies as a dynamic change) The initial note by the cardiologist states that the presentation is more consistent with pericarditis. Remember, pericarditis is the thing you say and write down when youre actively trying to miss an OMI.

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Transient STEMI, serial ECGs prehospital to hospital, all troponins negative (less than 0.04 ng/ml)

Dr. Smith's ECG Blog

The old ECG has a Q-wave with persistent ST elevation in lead III, and some reciprocal ST depression (typical for aneurysm morphology). This rules out pericarditis, which essentially never has reciprocal ST depression. This is "Persistent ST elevation after previous MI" or "LV aneurysm morphology". He underwent CABG.

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