Dr. Smith's ECG Blog

DECEMBER 13, 2019

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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Pericarditis Chest Pain Aortic Blog 52

Med Page Today

APRIL 24, 2024

(MedPage Today) -- Only myocarditis/pericarditis and seizures occurred at higher rates in adolescents and children vaccinated for COVID-19 when compared with historical rates of those outcomes, according to an analysis of safety data from the FDA.

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COVID-19 Pericarditis Outcomes 144

ECG Cases

MARCH 15, 2022

Why should pericarditis be considered a diagnosis of exclusion? Which clinical features are most useful in the diagnosis of pericarditis? What are the best ways to differentiate the ECG of pericarditis from that of MI and early repolarization? Why is it so important to include colchicine as part of the treatment of pericarditis?

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Pericarditis 52

Heart BMJ

AUGUST 26, 2024

Acute pericarditis (AP) is the second most common cardiac cause of chest pain, diagnosed when at least two of the following criteria are met: characteristic pleuritic chest pain, pericardial rub on auscultation, new typical ECG changes (such as widespread ST-elevation or PR-depression) and pericardial effusion on imaging.

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Pericarditis Chest Pain Outcomes Biomarkers 59

Dr. S. Venkatesan MD

AUGUST 11, 2024

Inflammatory pericarditis can occur in differential fashion. For example, the most common chronic pericarditis tuberculosis affects the fibrinous layer. Post MI pericarditis involves the epicardium. Diastolic Coronary Artery Compression in Constrictive Pericarditis. Angina caused by calcific constrictive pericarditis.

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Pericarditis Anatomy Angina Heart Disease 52

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

The computer interpretation was “ST elevation, consider early repolarization, pericarditis or injury.” The final cardiology interpretation confirmed the computer interpretation of “ST elevation, consider early repolarization, pericarditis or injury”. A healthy 45-year-old female presented with chest pain, with normal vitals.

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Chest Pain Pericarditis SCAD STEMI 70

ECG Cases

NOVEMBER 16, 2021

Jesse McLaren guides us through 9 cases and explains how pericarditis is a diagnosis of exclusion through 3 simple steps: 1. Exclude complications of pericarditis, eg myocarditis, large pericardial effusion 3. The post ECG Cases 27 Pericarditis – Diagnosis of Exclusion appeared first on Emergency Medicine Cases.

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Pericarditis Chest Pain Blog STEMI 52

Dr. Smith's ECG Blog

AUGUST 4, 2024

Overall, this looks like one of the rare ECGs that is actually specific for pericarditis in my opinion. Pericarditis maybe." Meyers' words — "is one of the rare ECGs that is actually specific for pericarditis". ii ) Today's case emphasizes the importance of the history in making the diagnosis of pericarditis.

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Pericarditis Chest Pain Blog Aortic 103

Frontiers in Cardiovascular Medicine

OCTOBER 13, 2024

BackgroundAcute pericarditis represents an inflammatory disease affecting the pericardial layers. Case presentationWe reported a case of a patient with acute pericarditis that occurred a few hours after chest radiation therapy, performed for breast cancer.

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Pericarditis Cancer 52

Dr. Smith's ECG Blog

JUNE 20, 2018

Clinician and EKG machine read of acute pericarditis. While it is true that inferior MI has ST depression in aVL 99% of the time (Bischof and Smith), and that inferolateral ST elevation is the most common distribution for pericarditis, the ST elevation in V3 has "terminal QRS distortion (TQRSD)," (diagnostic of LAD occlusion).

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Pericarditis Chest Pain Blog Ultrasound 52

American Heart News - Heart News

JUNE 17, 2024

DALLAS, June 17, 2024 — About 40,000 people in the United States experience recurrent pericarditis, or inflammation of the sac-like structure that protects the heart, which can cause chest pain and may lead to fluid buildup around the heart muscle.

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Dr. Smith's ECG Blog

AUGUST 24, 2012

But there was some doubt as to whether it might be pericarditis because of the ST elevation in I and II, without ST depression in III. Add that to "sharp" pain and a 33 year old, and it is easy to convince yourself that this is, indeed, pericarditis. This is a good sign for myocardial infarction and does not happen in pericarditis.

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Pericarditis STEMI Chest Pain Myocardial Infarction 52

Dr. Sanjay Gupta

DECEMBER 19, 2022

Pericarditis refers to inflammation of the pericardium The pericardium is a sac within which the heart sits. Acute inflammation of this sac is known as acute pericarditis. About 5% of patients who present to A+E with chest pain which is not deemed to be a heart attack or angina are ultimately diagnosed with pericarditis.

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Pericarditis Heart Attack Heart attacks Chest Pain 40

Heart BMJ

AUGUST 26, 2024

Background There are limited data on acute pericarditis according to different age groups. The aim of this study is to investigate the role of age-related features in clinical characteristics, management, and outcomes of acute pericarditis, with a focus on the geriatric population. and G4: 16.2%; p<0.001). to 5.58, p<0.001).

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Pericarditis Outcomes Chest Pain Atrial Fibrillation 52

American College of Cardiology

SEPTEMBER 18, 2024

In this week’s View, Dr. Eagle looks at predicting long-term outcomes in patients with recurrent pericarditis.

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Pericarditis Outcomes Aortic Article 56

All About Cardiovascular System and Disorders

AUGUST 31, 2023

Dip and plateau pattern of ventricular pressure tracing in constrictive pericarditis Thickened and stiff pericardium in chronic constrictive pericarditis has poor compliance reducing the distension of cardiac chambers to a limited fixed total volume. Invasive hemodynamics of constrictive pericarditis. Indian Heart J.

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Pericarditis Bradycardia Pulmonary Cardiomyopathy 52

Frontiers in Cardiovascular Medicine

MARCH 17, 2024

TB pericarditis is the commonest cardiac manifestation of TB and is the leading cause of constrictive pericarditis, a reversible (by surgical pericardiectomy) cause of diastolic heart failure in endemic areas.

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Pericarditis Heart Failure Research Outcomes 49

Journal of Cardiothoracic Surgery

FEBRUARY 11, 2024

To investigate the relationship between p wave terminal force (Ptfv1) and pericardial thickness in patients with tuberculous constrictive pericarditis.

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Pericarditis Research 52

The New England Journal of Medicine

NOVEMBER 29, 2023

A 69-year-old woman with a history of focal pleural plaques due to occupational asbestos exposure presented with chronic dyspnea on exertion. Chest imaging showed calcification of the pericardium.

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Pericarditis Plaque 63

Dr. Smith's ECG Blog

DECEMBER 20, 2013

Here is his initial ED ECG: The R-wave in V4 extends to 33 mm, the computerized QTc is 372 ms The only available previous ECG is from one year ago, during the admission when he was diagnosed with pericarditis: 1 year ago ECG, with clinician and computer interpretatioin of pericarditis Normal 0 false false false EN-US X-NONE X-NONE What do you think?

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Pericarditis Chest Pain Pulmonary Embolism 52

American College of Cardiology

SEPTEMBER 16, 2024

What are the factors associated with long-term outcomes in patients with recurrent pericarditis?

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Pericarditis Outcomes Article 40

Heart BMJ

DECEMBER 20, 2023

Transition to rilonacept monotherapy from oral therapies in patients with recurrent pericarditis. Brucato A, Wheeler A, Luis SA, et al. Heart 2023; 109 : 297-304. This article has been corrected since it was first published.

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Pericarditis Article 52

Journal of Cardiovascular Pharmacology

FEBRUARY 28, 2024

Acute pericarditis is characterized by pericardial inflammation which can be treated with anti-inflammatory drugs. A considerable percentage of patients develops recurrent pericarditis with several relapses. Two pathophysiological mechanisms have been described for idiopathic recurrent pericarditis, autoimmune and autoinflammatory.

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Pericarditis Article 40

Journal of Cardiovascular Pharmacology

OCTOBER 8, 2023

This review summarizes the evaluation for underlying rheumatic conditions in patients presenting with acute pericarditis, treatment considerations for specific rheumatic conditions, and the role of imaging in diagnosis and monitoring. Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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Pericarditis Article 40

ECG Cases

OCTOBER 17, 2023

Jesse McLaren guides us through 10 cases, driving home the points that sepsis is a common cause of rapid Afib and diffuse ST depression with reciprocal ST elevation in aVR, myo/pericarditis is a diagnosis of exclusion, endocarditis or lyme carditis can cause AV block, PE can cause low grade fever and ECG signs of acute RV strain and that fever can (..)

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Pericarditis AFIB Blog Atrial Fibrillation 94

HeartRhythm

APRIL 30, 2024

Pericarditis is the most common complication following hybrid sinus node sparing ablation for Inappropriate Sinus Tachycardia (IST)/Postural Orthostatic Tachycardia Syndrome (POTS).

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Pericarditis Tachycardia POTS Ablation 40

Journal of Cardiovascular Pharmacology

MAY 9, 2023

Recurrent pericarditis (RP) is the most troublesome complication of acute pericarditis reflecting an unresolving inflammation of the pericardial sac around the heart and associated with significant morbidity.

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Pericarditis Quality of Life Outcomes Article 40

Dr. Smith's ECG Blog

FEBRUARY 12, 2024

Post op chest pain Typical of post-op pericarditis (postpericardiotomy syndrome) There is ST Elevation in II ＞ III, and STE in V3-5, but with flat T-wave. The ST elevation is far more prominent than the T-wave and this is what I see as the defining feature differentiating OMI from pericarditis.

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Pericarditis Chest Pain Bradycardia Aortic 91

Dr. Smith's ECG Blog

DECEMBER 5, 2023

Though less prevalent in younger patients, occlusion MI may occur and requires the same early interventions as older patients. - - Pericarditis and myocarditis should be a diagnosis of exclusion. I've listed potential causes of acute pericarditis in My Comment at the bottom of the page in the June 11, 2022 post in Dr. Smith's ECG Blog.

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Pediatrics Pericarditis COVID-19 Congenital Heart Disease 120

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.

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Cardiogenic Shock Pericarditis Chest Pain Myocardial Infarction 109

Dr. Smith's ECG Blog

JUNE 19, 2024

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. But, as I always say, you diagnose pericarditis at your peril. This EKG seems to lack it.

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Chest Pain Pericarditis Pacemaker STEMI 63

The American Journal of Cardiology

MAY 21, 2024

Publication date: Available online 20 May 2024 Source: The American Journal of Cardiology Author(s): Shaye Kivity, Tomer Ziv Baran, Miri Mizrahi Reuveni, Angela Irony, Limor Adler, Yehuda Alder, Roma Parikh, Sara Kivity

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Pericarditis 52

The American Journal of Cardiology

DECEMBER 11, 2024

Publication date: Available online 10 December 2024 Source: The American Journal of Cardiology Author(s): Rehan Karmali, Issam Motairek, Samia Mazumder, Felix Berglund, Lorenzo Braghieri, Astefanos Al-Dalakta, Katherine Singh, Brittany Weber, Allan Klein

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Pericarditis 40

Dr. Smith's ECG Blog

APRIL 9, 2024

It is easy to say pericarditis in such a case. young male no risk factors and ST-elevation in several leads) As Dr. Smith has emphasized many times you diagnose pericarditis at your patient's and your own peril. Version 1 was not trained to detect myo- or pericarditis. The above ECG was recorded. How did the Queen do?

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Chest Pain Pericarditis Blog Risk Factors 98

Heart BMJ

APRIL 25, 2024

Objective Clinical trials have evaluated the efficacy and safety of colchicine only in simple pericarditis, excluding cases of concomitant myocarditis. The aim of this paper is to evaluate the efficacy and safety of colchicine for the treatment of the first attack of acute pericarditis with concomitant myocardial involvement.

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Pericarditis Risk Factors 52

Dr. Smith's ECG Blog

MAY 16, 2023

There is a reasonable chance of pericarditis in this case, or this could be a baseline." Sadly, I did not receive enough information to adjudicate whether this patient has pericarditis or not. I sent this to Dr. Smith and this was his response: "Likely pericarditis, but that is perilous. I immediately responded: "cool fake!

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Chest Pain Pericarditis Tachycardia STEMI 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. ) I’ll add the following 2 comments: i ) This patient presumably has effusive-constrictive pericarditis. Absence of any ST depression in aVL. ( Clin Cardiol 22:334-344, 1999 ).

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Chest Pain Pericarditis Tachycardia Myocardial Infarction 52