Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

This is a value typical for a large subacute MI, n ormal value 48 hours after myocardial infarction is associated with Post-Infarction Regional Pericarditis ( PIRP ). As already mentioned, this patient could have post-infarction regional pericarditis from a large completed MI.

Cardiogenic Shock 109

Cardiogenic Shock Chest Pain Pericarditis Myocardial Infarction 109

Dr. Smith's ECG Blog

MARCH 11, 2016

A middle-aged woman had intermittent angina for 48 hours, then onset of constant, crushing chest pain for 1.5 Appearance of abnormal Q waves early in the course of acute myocardial infarction: implications for efficacy of thrombolytic therapy. of AMI patients and is often preceded by postinfarction regional pericarditis (PIRP).

Myocardial Infarction 52

Myocardial Infarction Pericarditis STEMI Angina 52

Dr. Smith's ECG Blog

JULY 21, 2019

I do not think this is acute occlusion myocardial infarction (OMI). OMI is generally of more acute onset, unless there is intermittent angina. There is also mild pericardial enhancement consistent with pericarditis. Get an emergent contrast echocardiogram. These are reasons why it does not look like OMI: 1.

Chest Pain 52

Chest Pain Myocardial Infarction Pericarditis Angina 52

All About Cardiovascular System and Disorders

MARCH 25, 2024

So in anterior leads, for diagnosis of ST elevation myocardial infarction, V1, the cutoff is usually 2 mm, while 1 mm is enought in other leads. That is usually with angina and ventricular strain patterns. PR segment elevation and depression can occur in atrial infarction and pericarditis.

Myocardial Infarction 40

Myocardial Infarction Arrhythmia Pericarditis Angina 40

Dr. Smith's ECG Blog

JANUARY 28, 2012

The patient might be having cardiac ischemia, but if he is, it is unstable angina or non-STEMI, or perhaps he has not YET pseudonormalized, so serial ECGs may be important. Differential of peri-infarct pericardial fluid The differential includes 1) pericarditis with effusion or 2) hemopericardium.

Chest Pain 40

Chest Pain STEMI Pericarditis Ultrasound 40

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