Dr. Smith's ECG Blog
SEPTEMBER 25, 2024
The computer interpretation was “ST elevation, consider early repolarization, pericarditis or injury.” The final cardiology interpretation confirmed the computer interpretation of “ST elevation, consider early repolarization, pericarditis or injury”. A healthy 45-year-old female presented with chest pain, with normal vitals.
Dr. Smith's ECG Blog
APRIL 25, 2023
First, many on Twitter said "Pericarditis". This is NOT pericarditis, which virtually NEVER has ST depression any where except aVR. See our publication: ST depression in lead aVL differentiates inferior ST-elevation myocardial infarction from pericarditis There is STE in inferior leads, high lateral leads, and V4-V6. Medical Rx.
Dr. Smith's ECG Blog
SEPTEMBER 9, 2024
You can easily imagine this patient getting one of several diagnoses -- vasospasm, MINOCA , pericarditis, or maybe even no diagnosis at all beyond "non-obstructive coronary artery disease." In a large proportion of cath labs, the operator would probably have ended the case at this point.
Dr. Paddy Barrett
APRIL 5, 2024
A common feedback I get is that people with existing coronary artery disease feel like it doesn’t apply to them. Arguably, applying the principles of prevention offers more bang for buck in the short term for people WITH coronary artery disease than those without coronary artery disease.
Dr. Smith's ECG Blog
NOVEMBER 30, 2024
In addition, ischemic STD in aVL is highly sensitive for inferior OMI, and excludes pericarditis. for both pericarditis and normal variant, the vector results in more STE in II than III, and absence of STD in aVL. It means that, if there is STD in aVL, then it is almost certainly not pericarditis (but could be myocarditis).
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