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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

Three months prior to this presentation, he received a pacemaker for severe bradycardia and syncope due to sinus node dysfunction. 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 EKG seems to lack it.

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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

T wave alternans is characterized by variation in T-wave morphology in the setting of consistent pacemaker and QRS morphology. (1) She had an uneventful ICU course and was extubated for ongoing care with the inpatient psychiatric service. Teaching Points: 1.

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Evaluation of JVP

All About Cardiovascular System and Disorders

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.