Dr. Paddy Barrett

APRIL 5, 2024

Traditionally used as an anti-inflammatory for pericarditis (inflammation of the lining of the heart), it has recently been shown to result in fewer major heart events in those with a recent heart attack. 7 Secondary prevention following myocardial infarction: a clinical update. It is an easy win, frequently missed.

Heart Disease 118

Heart Disease Coronary Artery Disease Heart Attack Heart attacks 118

Dr. Smith's ECG Blog

JULY 18, 2014

When there is MI extending all the way to the epicardium (transmural), that infarcted epicardium is often inflamed (postinfarction regional pericarditis, or PIRP). What complication is the patient with post-infarction regional pericarditis at risk for? One should be on the alert for myocardial rupture. Lessons : 1.

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STEMI Pericarditis Myocardial Infarction Cardiogenic Shock 52

Dr. Smith's ECG Blog

JULY 7, 2013

When there is MI extending all the way to the epicardium (transmural), that infarcted epicardium is often inflamed (postinfarction regional pericarditis, or PIRP). In addition, when there is full thickness infarction, especially with inflammation, the myocardium is at risk of "rupture." 3) Oliva et al. (3) Armstrong PW et al.

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STEMI Myocardial Infarction Pericarditis Ultrasound 52

Dr. Smith's ECG Blog

JUNE 17, 2018

PR depression, which suggests pericarditis 4. We also showed that, of 47 cases of pericarditis with ST elevation, none had ST depression in aVL. ) The goal of the present analysis was to examine whether the presence of tachycardia identified patients unlikely to have type 1 myocardial infarction.

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Chest Pain Pericarditis Tachycardia Myocardial Infarction 52

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

Then the patient's pain then resolved spontaneously after 2 sublingual nitroglycerine and another ECG was recorded ECG 2 at 16 minutes ST ELEVATION CONSISTENT WITH INJURY, PERICARDITIS, OR EARLY REPOLARIZATION Overread same Smith : The T-waves are now MUCH smaller. The S-wave is reconstituted. The inferior findings are much less pronounced.

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Chest Pain Myocardial Infarction STEMI Pericarditis 115

Dr. Smith's ECG Blog

MARCH 11, 2016

Appearance of abnormal Q waves early in the course of acute myocardial infarction: implications for efficacy of thrombolytic therapy. MYOCARDIAL RUPTURE AND POSTINFARCTION REGIONAL PERICARDITIS KEY POINTS · Myocardial rupture occurs in 1 to 1.5% Myocardial Rupture and Postinfarction Pericarditis.

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Myocardial Infarction Pericarditis STEMI Angina 52

Dr. Smith's ECG Blog

JANUARY 17, 2018

Answer: "It does not look like myocardial infarction". ECG Diagnosis: Normal variant ST Elevation vs. Pericarditis. Uncertain whether there is pericarditis or normal variant. No objective signs of pericarditis (no rub, no effusion, no positional pain) 3. What do you think? He sent the prehospital ECG.

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Pericarditis Chest Pain STEMI Myocardial Infarction 52

Dr. Smith's ECG Blog

AUGUST 6, 2024

These latter findings are typical of pericarditis, but pericarditis never has reciprocal ST depression. The ECG is diagnostic of occlusion myocardial infarction (OMI). Usually with pericarditis and myocarditis — hyperacute T waves (HATW) are not present. S mith : there is STE in lead III and reciprocal STD in aVL.

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Chest Pain Ischemia Pericarditis Tachycardia 104

DAIC

MARCH 28, 2024

Primary adverse events were defined as myocardial infarction, thromboembolism, transient ischemic attack, diaphragmatic paralysis, pneumothorax, heart block, pulmonary edema, vagal nerve injury, pericarditis, major vascular access complication or bleeding, death, stroke, or any other cerebrovascular accident.

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Atrial Fibrillation AFIB Ablation Pulmonary 110

Dr. Smith's ECG Blog

APRIL 25, 2023

First, many on Twitter said "Pericarditis". This is NOT pericarditis, which virtually NEVER has ST depression any where except aVR. See our publication: ST depression in lead aVL differentiates inferior ST-elevation myocardial infarction from pericarditis There is STE in inferior leads, high lateral leads, and V4-V6.

Chest Pain 52

Chest Pain Pericarditis Blog Cardiomyopathy 52

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

This is a bad ST vector orientation, because it causes widespread STE and one of the most important mistakes that needs to be avoided here is thinking of the diagnosis of pericarditis. Such an out-of-proportion STE is virtually never seen in pericarditis. Considerations on the naming of myocardial infarctions. 2019.09465.

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Chest Pain Myocardial Infarction Blog Pericarditis 52

Dr. Smith's ECG Blog

MARCH 3, 2023

As myocardial infarction (MI) and many other diagnoses (for example left ventricular hypertrophy, prior MI etc.) We are happy to announce that our "OMI Toolbox" application has just released and ready for your use. can cause ST-segment elevation (STE) on electrocardiogram (ECG), the distinction between them may be hard and complicated.

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Chest Pain STEMI Download Blog 52

Dr. Smith's ECG Blog

JULY 21, 2019

I do not think this is acute occlusion myocardial infarction (OMI). There is also mild pericardial enhancement consistent with pericarditis. QTc's were 330 ms and 373 ms This is what I texted back: These look like they are a very pronounced case of Benign T-wave Inversion. Get an emergent contrast echocardiogram.

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Chest Pain Myocardial Infarction Pericarditis Angina 52

All About Cardiovascular System and Disorders

MARCH 25, 2024

So in anterior leads, for diagnosis of ST elevation myocardial infarction, V1, the cutoff is usually 2 mm, while 1 mm is enought in other leads. PR segment elevation and depression can occur in atrial infarction and pericarditis. When there is ST depression, even 0.5 mm is enough, to consider abormal ST.

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Arrhythmia Myocardial Infarction Pericarditis Angina 40

Dr. Smith's ECG Blog

MARCH 11, 2019

You do NOT see this in normal variant STE, nor in pericarditis. Cardiac Troponin Changes to Distinguish Type 1 and Type 2 Myocardial Infarction and 180-Day Mortality Risk. Here is the computer interpretation: (Veritas algorithm) This is what I said: "This is diagnostic of an acute inferior MI. Murakami M.

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Chest Pain Ischemia Aneurysm Myocardial Infarction 52

Dr. Smith's ECG Blog

JANUARY 17, 2024

The initial computer and final cardiology interpretation was a differential: “ST elevation, consider early repolarization, pericarditis, or injury.” Hyperacute T waves can be a useful sign of occlusion myocardial infarction if appropriately defined. But STEMI criteria ignore all this and look at ST segments in isolation.

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Chest Pain STEMI Myocardial Infarction Blog 118

Dr. Smith's ECG Blog

JANUARY 28, 2012

Differential of peri-infarct pericardial fluid The differential includes 1) pericarditis with effusion or 2) hemopericardium. Differential of peri-infarct pericardial fluid The differential includes 1) pericarditis with effusion or 2) hemopericardium. Myocardial rupture is not uncommon.

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Chest Pain STEMI Pericarditis Ultrasound 40

Dr. Smith's ECG Blog

JANUARY 21, 2023

Clinical questions : Is this an occlusion myocardial infarction and does the patient need the cath lab? Prominent J waves and ventricular fibrillation caused by myocarditis and pericarditis after BNT162b2 mRNA COVID-19 vaccination. The relationship between J wave and ventricular tachycardia during Takotsubo cardiomyopathy.

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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.

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Chest Pain Pericarditis Myocardial Infarction Dementia 89