Dr. Smith's ECG Blog
JUNE 20, 2018
Clinician and EKG machine read of acute pericarditis. While it is true that inferior MI has ST depression in aVL 99% of the time (Bischof and Smith), and that inferolateral ST elevation is the most common distribution for pericarditis, the ST elevation in V3 has "terminal QRS distortion (TQRSD)," (diagnostic of LAD occlusion).
Dr. Smith's ECG Blog
JULY 3, 2018
After admission he undergoes another ECG, though it is unclear from documentation whether there was a change in his chest pain. Remember, pericarditis is the thing you say and write down when youre actively trying to miss an OMI. Remember, pericarditis is the thing you say and write down when youre actively trying to miss an OMI.
Dr. Smith's ECG Blog
MAY 16, 2023
There is a reasonable chance of pericarditis in this case, or this could be a baseline." Sadly, I did not receive enough information to adjudicate whether this patient has pericarditis or not. I sent this to Dr. Smith and this was his response: "Likely pericarditis, but that is perilous. I immediately responded: "cool fake!
All About Cardiovascular System and Disorders
APRIL 25, 2024
Tuberculous pericardial effusion can be documented by aspirating the fluid and culturing the fluid for the presence of the bacteria causing tuberculosis (Mycobacterium tuberculosis). There are other tests also for tuberculous pericarditis, but they not as sure as growing the bacterium in culture.
Dr. Anish Koka
JANUARY 1, 2023
The case reports Case 1 involves a 26 year old man who developed pericarditis after the Pfizer vaccine. Pericarditis, an inflammation of the sac the heart lives in, developed about 7 days after the Pfizer vaccine. Abnormal cardiac biomarkers suggested damage to the heart muscle confirming myocarditis.
Dr. Smith's ECG Blog
AUGUST 8, 2020
Haven't you been taught that this favors pericarditis? Weren't you taught that concave morphology favors pericarditis? Expert ECG interpretation can often distinguish normal variant STE from OMI from pericarditis. Smith = “You diagnose acute pericarditis at your peril”. We will study this soon with our database.
Dr. Smith's ECG Blog
MARCH 27, 2025
Below is the first ECG, signed off by the over-reading cardiologist agreeing with the computer interpretation: ST elevation, consider early repolarization, pericarditis, or injury. Theres ST elevation in V3-4 which meets STEMI criteria, which could be present in either early repolarization, pericarditis or injury. What do you think?
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