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. There has been many reports of patients with angina in CP (Ref 1). Angina caused by calcific constrictive pericarditis.

article thumbnail

Pericarditis

Dr. Sanjay Gupta

Pericarditis refers to inflammation of the pericardium The pericardium is a sac within which the heart sits. Acute inflammation of this sac is known as acute pericarditis. About 5% of patients who present to A+E with chest pain which is not deemed to be a heart attack or angina are ultimately diagnosed with pericarditis.

article thumbnail

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.

article thumbnail

Why the sudden shock after a few days of malaise?

Dr. Smith's ECG Blog

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. Sinus tachycardia has many potential causes. Hammill SC.

article thumbnail

Differentiating Between Cardiac and Non-Cardiac Chest Pain

All About Cardiovascular System and Disorders

The typical pain of cardiac origin is a central chest pain which occurs on walking or other forms of exercise, known as effort angina. Effort angina is commonly due to significant obstruction to a blood vessel (coronary artery) supplying a part of the heart muscle. Pain is likely to be more if you are walking after a heavy meal.

article thumbnail

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

Dr. Smith's ECG Blog

This rules out pericarditis, which essentially never has reciprocal ST depression. This is not pericarditis because: a. Pericarditis does not have reciprocal depression. ST elevation of pericarditis is maximal in leads II and V5, V6. Pericarditis does not have hyperacute T-waves.

STEMI 52
article thumbnail

Initial Reperfusion T-waves, Followed by Pseudonormalization. Diagnosis?

Dr. Smith's ECG Blog

A middle-aged woman had intermittent angina for 48 hours, then onset of constant, crushing chest pain for 1.5 More likely, the patient had crescendo angina, with REVERSIBLE ischemia for 48 hours that only became potentially irreversible (STEMI) at that point in time. Myocardial Rupture and Postinfarction Pericarditis.