Hypertension and Pericarditis - Cardiovascular Update

Unveiling the threat of crystalline silica on the cardiovascular system. A comprehensive review of the current knowledge

Frontiers in Cardiovascular Medicine

FEBRUARY 13, 2025

Specific cardiovascular diseases, such as acute myocardial infarction, arrhythmias, pulmonary hypertension and pericarditis, were also pointed.

Myocardial Infarction

Myocardial Infarction Biomarkers Pericarditis Cardiovascular Disease

Acute chest pain and ST Elevation. CT done to look for aortic dissection.

Dr. Smith's ECG Blog

MARCH 9, 2024

Written by Willy Frick A 67 year old man with a history of hypertension presented with three days of chest pain radiating to his back. This ECG together with these symptoms is certainly concerning for OMI, but the ECG is not fully diagnostic, and another consideration could be acute pericarditis. What do you think?

Chest Pain

Chest Pain Pericarditis Aortic Echocardiogram

Why the sudden shock after a few days of malaise?

Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

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 ). As already mentioned, this patient could have post-infarction regional pericarditis from a large completed MI. Sinus tachycardia has many potential causes. Hammill SC.

Cardiogenic Shock

Cardiogenic Shock Chest Pain Pericarditis Myocardial Infarction

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What would you do with acute chest pain and this ECG? You might see what the Queen thinks.

Dr. Smith's ECG Blog

JUNE 19, 2024

Case An 82 year old man with a history of hypertension presented to the ED with chest pain at 1211. The undergraduate continues: This new EKG pattern is more suggestive of acute pericarditis. Usually with pericarditis, some degree of PR segment depression is expected. This is typical of pericarditis.

Chest Pain

Chest Pain Pericarditis Pacemaker STEMI

Another deadly triage ECG missed, and the waiting patient leaves before being seen. What is this nearly pathognomonic ECG?

Dr. Smith's ECG Blog

JUNE 17, 2024

Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the Emergency Department via ambulance with midsternal nonradiating chest pain and dyspnea on exertion. Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage. What do you think?

Chest Pain

Chest Pain Embolism Pulmonary Tachycardia

Occlusion myocardial infarction is a clinical diagnosis

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Recall from this post referencing this study that "reciprocal STD in aVL is highly sensitive for inferior OMI (far better than STEMI criteria) and excludes pericarditis, but is not specific for OMI." St depression in lead AVL differentiates inferior st-elevation myocardial infarction from pericarditis. Worrall, C., Thompson, P.,

Myocardial Infarction

Myocardial Infarction Chest Pain STEMI Blood Pressure

A man in his 50s with shortness of breath

Dr. Smith's ECG Blog

MARCH 26, 2024

A 30-something woman with chest pain and h/o pulmonary hypertension due to chronic pulmonary emboli A 30-something with 8 hours of chest pain and an elevated troponin Syncope, Shock, AV block, Large RV, "Anterior" ST Elevation. Submitted by a Med Student, with Great Commentary on Bias!

Chest Pain

Chest Pain Embolism Pulmonary Ischemia

What is lurking underneath this new right bundle branch block?

Dr. Smith's ECG Blog

NOVEMBER 25, 2017

Written by Pendell Meyers, edits by Smith: Case A 72 year old female with hypertension and COPD presented with sudden shortness of breath and chest pain. Here is her triage ECG (the baseline is not available but reportedly "normal"): What is your interpretation? There is sinus rhythm with PACs and PVCs.

Chest Pain

Chest Pain Pericarditis Embolism Stents

A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea Head On Motor Vehicle Collision. Q waves in association with RBBB are usually not seen in anterior leads unless there is pulmonary hypertension or anterior infarction.

Tachycardia

Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia

Evaluation of JVP

All About Cardiovascular System and Disorders

MARCH 20, 2024

That occurs in right heart failure and constrictive pericarditis. Constrictive pericarditis is an important cause for Kussmaul sign or inspiratory increase in jugular venous pressure. On the other hand, the Y descent is very prominent in constrictive pericarditis, and it is known as Friedreich’s sign.

Tricuspid

Tricuspid Pericarditis VSD Heart Failure

Sometimes even ST Elevation meeting criteria is not enough to be convincing

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

A 50 something-year-old man with a history of newly diagnosed hypertension and diabetes, for which he did not take any medication, presented a non-PCI-capable center with a vague, but central chest pain. Such an out-of-proportion STE is virtually never seen in pericarditis. Written by Emre Aslanger. Emre is a new Editor of the Blog.

Chest Pain

Chest Pain Myocardial Infarction Blog Pericarditis

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

Dr. Smith's ECG Blog

OCTOBER 10, 2022

A 30-something woman with chest pain and h/o pulmonary hypertension due to chronic pulmonary emboli A 30-something with 8 hours of chest pain and an elevated troponin Syncope, Shock, AV block, Large RV, "Anterior" ST Elevation. Submitted by a Med Student, with Great Commentary on Bias!

Cardiac Arrest

Cardiac Arrest Chest Pain Embolism Pulmonary

Chest pain followed by 6 days of increasing dyspnea -- what happened?

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

The exception is with postinfarction pericarditis , in which a completed transmural infarct results in inflammation of the subepicardial myocardium and STE in the distribution of the infarct, and which results in increased STE and large upright T-waves. These findings together are more commonly seen with pericarditis.

Chest Pain

Chest Pain Pericarditis Myocardial Infarction Dementia

A woman in her 40s with acute chest pain and shortness of breath

Dr. Smith's ECG Blog

NOVEMBER 21, 2024

A 30-something woman with chest pain and h/o pulmonary hypertension due to chronic pulmonary emboli A 30-something with 8 hours of chest pain and an elevated troponin Syncope, Shock, AV block, Large RV, "Anterior" ST Elevation. Submitted by a Med Student, with Great Commentary on Bias!

Chest Pain

Chest Pain Embolism Pulmonary Tachycardia

Unveiling the threat of crystalline silica on the cardiovascular system. A comprehensive review of the current knowledge

Acute chest pain and ST Elevation. CT done to look for aortic dissection.

Why the sudden shock after a few days of malaise?

Webinars

What would you do with acute chest pain and this ECG? You might see what the Queen thinks.

Another deadly triage ECG missed, and the waiting patient leaves before being seen. What is this nearly pathognomonic ECG?

Occlusion myocardial infarction is a clinical diagnosis

A man in his 50s with shortness of breath

What is lurking underneath this new right bundle branch block?

A teenager involved in a motor vehicle collision with abnormal ECG

Evaluation of JVP

Sometimes even ST Elevation meeting criteria is not enough to be convincing

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

Chest pain followed by 6 days of increasing dyspnea -- what happened?

A woman in her 40s with acute chest pain and shortness of breath

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