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Pericarditis

Dr. Sanjay Gupta

Pericarditis refers to inflammation of the pericardium The pericardium is a sac within which the heart sits. Acute inflammation of this sac is known as acute pericarditis. If the inflammation spreads to the surface of the heart itself, it is termed myopericarditis. Why does this inflammation happen? How may it present?

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Differentiating Between Cardiac and Non-Cardiac Chest Pain

All About Cardiovascular System and Disorders

Pain of a heart attack occurs in a similar location as effort angina but is more severe. Chest pain may be associated with undue sweating, anxiety and sometimes undue awareness of heart beats known as palpitation. Chest pain of heart attack is not relieved by rest unlike effort angina.

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ECG Blog #448 — A Young Man with Chest Pain.

Ken Grauer, MD

Pericarditis is rare — but myocarditis is not , so especially in this age group — more information is needed to quickly determine if this could be an acute MI, myocarditis, or none of the above. The patient arrested outside the hospital. Unfortunately — the cardiologist at that center did not recognize the abnormal ECG findings.

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A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. He spent almost 2 months in the hospital, and reportedly made a full neurologic recovery. CPR was initiated immediately.

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A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

He was then transferred to quaternary care childrens hospital. Pericarditis? No apical thrombus noted using Definity contrast. Coxsackie serologies negative. Covid PCR negative. UDS positive for marijuana only. There, troponins were trended up to 100,000 ng/L (still unknown if troponin I or T). Beware a negative Bedside ultrasound.