Hospital Pericarditis STEMI 
Ken Grauer, MD
FEBRUARY 24, 2023
Hospital evaluation for this patient was negative for an acute coronary syndrome ( ie, CT coronary angiogram was normal — troponin was not elevated — and Echo was negative, with no sign of pericardial effusion ). The patient was discharged with a diagnosis of acute pericarditis — and treated with a full course of colchicine and ibuprofen.
Dr. Smith's ECG Blog
JUNE 18, 2011
This is a 45 yo male who had an inferior STEMI 6 months prior, was found to have severe LAD and left main disease, and was supposed to be set up for CABG a few weeks later, but did not follow up. But it could be anterior STEMI. 40% of anterior STEMI has upward concavity in all of leads V2-V6. is likely anterior STEMI).
Dr. Smith's ECG Blog
SEPTEMBER 5, 2024
She presented to an outside hospital after several days of malaise and feeling unwell. This is a value typical for a large subacute MI, n ormal value 48 hours after myocardial infarction is associated with Post-Infarction Regional Pericarditis ( PIRP ). At the time of admission, her vital signs were normal. Heart rate was in the 80s.
Dr. Smith's ECG Blog
OCTOBER 17, 2022
If you were thinking that this is not anterior OMI because there is no reciprocal ST depression , it is important to remember that half of anterior STEMI do NOT have any reciprocal ST depression. Pericarditis? If you were thinking that this is pericarditis, that would be possible in the absence of any clinical information.
Dr. Smith's ECG Blog
AUGUST 6, 2024
These latter findings are typical of pericarditis, but pericarditis never has reciprocal ST depression. Despite active CP — cath lab activation was deferred and this patient was transported to a local hospital without PCI capability. Usually with pericarditis and myocarditis — hyperacute T waves (HATW) are not present.
Dr. Smith's ECG Blog
JULY 12, 2020
They informed me that she had just been hospitalized 10 days ago for "some fluid around the heart" and was discharged after one day without incident. Ultimately, she spent several days in the hospital and no further fluid collected. She was diagnosed with pericarditis and spent one day in the hospital without events.
Dr. Smith's ECG Blog
OCTOBER 11, 2020
As always, takotsubo cardiomyopathy and focal pericarditis can mimic OMI, but takotsubo almost never mimics posterior MI, and both are diagnoses of exclusion after a negative cath. The provider contacted cardiology to discuss the case, but cardiology "didn't think it was a STEMI, didn't think he needed emergent cath." Canto et al.
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