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Another bloodpressure was checked. He was severely hypotensive, with a systolic pressure in the 50s. 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.
This may be in the strength of the pulse ( or the bloodpressure recorded ) — or it may be in one or more waveforms in the ECG recording. The term "alternans" itself — merely indicates that there is a phasic fluctuation in some cardiac signal fro m one beat to the next within the cardiac cycle.
The second most common cause of medical cardiac tamponade is acute idiopathic pericarditis. Less common etiologies include uremia, bacterial or tubercular pericarditis, chronic idiopathic pericarditis, hemorrhage, and other causes such as autoimmune diseases, radiation, myxedema, etc.
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