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So I immediately left the room to get an ultrasound machine. While calling for some help and arranging to have her transported to our criticalcare zone, I got this quick ultrasound which confirmed my suspicion: This quick view was all I was able to obtain in the circumstances. Much more classic findings of pericarditis.
Colin is an emergency medicine resident beginning his criticalcare fellowship in the summer with a strong interest in the role of ECG in criticalcare 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.
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 criticalcare room, and called the cardiologists. Myocardial rupture is usually preceded by postinfarction regional pericarditis (PIRP).
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