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.

Chest Pain 66

Chest Pain Pericarditis SCAD STEMI 66

Frontiers in Cardiovascular Medicine

DECEMBER 13, 2023

Background & aims Coronavirus disease 2019 (COVID-19) is strongly associated with myocarditis or pericarditis risk in observational studies, however, there are still studies that do not support the above conclusion. Results Non-associations in the IVW and sensitivity analyses were observed for COVID-19 with myocarditis or pericarditis.

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COVID-19 Pericarditis Hospital 69

Frontiers in Cardiovascular Medicine

JANUARY 8, 2024

Background Coronavirus disease (COVID-19)-associated acute pericarditis has recently received much attention owing to its high frequency associated with pericardial tamponade (PT), showing unfavorable prognosis. Conclusions We encountered a unique case of COVID-19-associated acute pericarditis exhibiting hemorrhagic PT.

COVID-19 72

COVID-19 Pericarditis Hemorrhage Hospital 72

American College of Cardiology

MARCH 20, 2024

Echocardiography-based deep learning model to differentiate constrictive pericarditis and restrictive cardiomyopathy. Commentary based on Chao CJ, Jeong J, Arsanjani R, et al. JACC Cardiovasc Imaging

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Pericarditis Cardiomyopathy Article 64

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 attacks Heart Attack Chest Pain 40

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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Pericarditis Chest Pain 53

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

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?

Pericarditis 52

Pericarditis 52

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

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 54

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.

Pericarditis 40

Pericarditis Article 40

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

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

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.

Pericarditis 49

Pericarditis Heart Failure Research Outcomes 49

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

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."

Pericarditis 52

Pericarditis Chest Pain Aortic Blog 52

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.

Pericarditis 52

Pericarditis Research 52

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).

Pericarditis 40

Pericarditis Tachycardia POTS Ablation 40

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

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 94

Dr. Smith's ECG Blog

MARCH 9, 2024

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. Mistaking OMI for pericarditis is a much more harmful error than the converse. The rate is tachycardic, which is uncommon in OMI and common in pericarditis.

Chest Pain 110

Chest Pain Pericarditis Aortic Echocardiogram 110

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.

Pericarditis 40

Pericarditis Quality of Life Outcomes Article 40

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

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

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

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 60

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 91

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

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. 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 103

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?

Pericarditis 52

Pericarditis Chest Pain Pulmonary Embolism 52

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 84

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!

Chest Pain 52

Chest Pain Pericarditis Tachycardia STEMI 52

HeartRhythm

APRIL 30, 2024

Pericardial effusion and tamponade are rare occurrences following PVC ablation, but are mostly associated with ablation of thin myocardial wall structures.

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Ablation Pericarditis 40

All About Cardiovascular System and Disorders

APRIL 25, 2024

There are other tests also for tuberculous pericarditis, but they not as sure as growing the bacterium in culture. In addition to cancer and tuberculosis, any other cause of pericarditis can also cause pericardial effusion. Pericarditis is the inflammation of the outer covering of the heart.

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Pericarditis Cancer Blood Pressure Heart Valves 40

Dr. S. Venkatesan MD

MAY 16, 2024

Mid or Proximal LAD lesion with proximal thrombus build-up Further possibilities Mimickers: Distal LAD lesions -Inferior ST elevation due to sparing of diagonal Wrong diagnosis -ERS pattern, pericarditis etc.

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STEMI Pericarditis Embolism Circulation 52

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 112