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What does this ECG show?

Dr. Smith's ECG Blog

Overall, this looks like one of the rare ECGs that is actually specific for pericarditis in my opinion. Pericarditis maybe." Serial echo monitoring showed increasing pericardial pressures without overt tamponade physiology. Meyers' words — "is one of the rare ECGs that is actually specific for pericarditis".

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80-something year old with acute chest pain. 3 visits. Fascinating Ultrasound progression

Dr. Smith's ECG Blog

Here was his cardiac echo (remember, done 9 hours after the one above): Pericardial Effusion with Tamponade physiology, developed within 9 hours. Here is the ECG: No ST Elevation Final Diagnosis: Pericarditis The fluid was nondiagnostic as to etiology of pericarditis.

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A young woman in her early 20s with syncope

Dr. Smith's ECG Blog

She was diagnosed with pericarditis and spent one day in the hospital without events. Much more classic findings of pericarditis. Learning Points: Pericardial effusion is a key piece of information for the diagnosis and prognosis of pericarditis. Another ECG was performed, and this time was noted to be markedly abnormal.

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What does this ECG with significant ST Elevation represent?

Dr. Smith's ECG Blog

There is also mild pericardial enhancement consistent with pericarditis. He later underwent an MRI: 1) Mildly decreased LV function with no focal wall motion abnormalities 2) Patchy intramyocardial delayed enhancement compatible with myocarditis. Overall findings are consistent with myopericarditis.

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A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

Dyspnea, Chest pain, Tachypneic, Ill appearing: Bedside Cardiac Echo gives the Diagnosis 31 Year Old Male with RUQ Pain and a History of Pericarditis. The ECG accurately reflects the physiologic state of the underlying myocardium, but there is always more than one possible etiology of that physiologic state.