Blood Pressure Pericarditis STEMI 
Dr. Smith's ECG Blog
JUNE 19, 2024
Another blood pressure was checked. He was severely hypotensive, with a systolic pressure in the 50s. His EKG with worse pain now shows enough ST elevation to meet STEMI criteria. The undergraduate continues: This new EKG pattern is more suggestive of acute pericarditis. This is typical of pericarditis.
Dr. Smith's ECG Blog
JULY 12, 2020
The cardiac monitor showed sinus rhythm but the automatic blood pressure cuff was not reading. We arrived in the resuscitation bay and recorded a heart rate of 115 bpm and blood pressure of 50/30 mm Hg. Why would she have such varying blood pressure? Much more classic findings of pericarditis.
Dr. Smith's ECG Blog
DECEMBER 11, 2023
Her systolic blood pressure at the dentist was over 200 mm Hg. She was given nitroglycerin which improved her blood pressure, and she completed the procedure. The neighbor recorded a systolic blood pressure again above 200 mm Hg and advised her to come to the ED to address her symptoms. Her arm pain abated.
Dr. Smith's ECG Blog
MAY 23, 2022
Note: according to the STEMI paradigm these ECGs are easy, but in reality they are difficult. Theres inferior STE which meets STEMI criteria, but this is in the context of tall R waves (18mm) and relatively small T waves, and the STD/TWI in aVL is concordant to the negative QRS. This was false positive STEMI with an ECG mimicking OMI.
Expert insights. Personalized for you.
60 
Let's personalize your content