Dr. Smith's ECG Blog
JULY 12, 2020
While calling for some help and arranging to have her transported to our critical care zone, I got this quick ultrasound which confirmed my suspicion: This quick view was all I was able to obtain in the circumstances. She was diagnosed with pericarditis and spent one day in the hospital without events. mm STE depression in aVL.
Dr. Smith's ECG Blog
SEPTEMBER 7, 2024
Then the patient's pain then resolved spontaneously after 2 sublingual nitroglycerine and another ECG was recorded ECG 2 at 16 minutes ST ELEVATION CONSISTENT WITH INJURY, PERICARDITIS, OR EARLY REPOLARIZATION Overread same Smith : The T-waves are now MUCH smaller.
Dr. Smith's ECG Blog
JANUARY 15, 2024
Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. The "flu-like" illness suggests myo- or pericarditis, but that would be a diagnosis of exclusion. Written by Colin Jenkins. Edits by Willy Frick.
Dr. Smith's ECG Blog
NOVEMBER 1, 2022
This EKG was recorded as part of a standing order for critical care. Assessment:" " Nonspecific ST elevation from V1-V4 , question of early repolarization versus pericarditis , question of acute current of injury and ? Pericarditis would be even more unlikely in someone without chest pain. He awoke with naloxone.
Dr. Smith's ECG Blog
JANUARY 28, 2012
Below are his presenting STEMI ECG and his post-PCI ECG from 3 weeks prior: Because of the hypotension, chest pain, and T-wave inversions, the physicians were worried about MI, took the patient to the critical care room, and called the cardiologists. Myocardial rupture is usually preceded by postinfarction regional pericarditis (PIRP).
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