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Pharmacological preventions and treatments for pericardial complications after open heart surgeries

Heart BMJ

They included randomised controlled trials that enrolled adults undergoing major cardiac surgeries and reported postpericardiotomy syndrome, pericardial effusion and pericarditis as primary or secondary outcomes. to 0.81) and may prevent postoperative pericarditis (RR 0.66, 95% CI 0.45 Pairs of reviewers screened eligible studies.

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"Pericarditis" strikes again

Dr. Smith's ECG Blog

mm has been described in normal subjects) Overall impression: In my opinion and experience, this ECG most likely represents a normal baseline ECG, but with a small chance of pericarditis instead. I texted this to Dr. Smith without any information, and this was his reply: "This could be pericarditis but probably is normal variant."

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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

She was admitted to the ICU where subsequent ECGs were performed: ECG at 12 hours QTc prolongation, resolution of T wave alternans ECG at 24 hours Sinus tachycardia with normalized QTc interval. She had an uneventful ICU course and was extubated for ongoing care with the inpatient psychiatric service.

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A young woman in her early 20s with syncope

Dr. Smith's ECG Blog

A CT was obtained later and showed appropriate positioning of the catheter: She was admitted to the ICU and the catheter was used several times to withdraw more fluid. She was diagnosed with pericarditis and spent one day in the hospital without events. Much more classic findings of pericarditis. mm STE depression in aVL.

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A Patient with Respiratory Failure and a Computer "Normal" ECG

Dr. Smith's ECG Blog

You do NOT see this in normal variant STE, nor in pericarditis. The patient was managed in the ICU and had serial troponins. Here is the computer interpretation: (Veritas algorithm) This is what I said: "This is diagnostic of an acute inferior MI. There is upsloping ST elevation in III, with reciprocal ST depression in aVL.

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

Dr. Smith's ECG Blog

The patient was upgraded to the ICU for closer monitoring. Dyspnea, Chest pain, Tachypneic, Ill appearing: Bedside Cardiac Echo gives the Diagnosis 31 Year Old Male with RUQ Pain and a History of Pericarditis. Echocardiogram showed severe RV dilation with McConnell’s sign and an elevated RVSP. What is the Diagnosis?

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Vaccine myocarditis update from Korea

Dr. Anish Koka

The KDCA also established a reporting system with a legal obligation for special adverse events including myocarditis and pericarditis after COVID-19 vaccination. Of the 1533 cases of potential vaccine myocarditis reported, the expert adjudication committee confirmed 480 Covid 19 VRM cases.