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Acute Pericarditis Electrocardiographic Changes

Stage l: Diffuse, concave ST-segment elevation 

Stage II: ST segments normalize, J point
Acute Pericarditis ... permanent #Pericarditis ... Electrocardiogram #ECG ... #EKG #Cardiology ... #Diagnosis
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... in acute pericarditis ... patients) stage 4 - ECG ... #EM #IM #Cardiology ... #EKG #Pericarditis
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
EKG Stage 1 - Widespread ... Downsloping TP segments ... also be seen in acute ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... in acute myocardial ... strongly suggest acute ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... deviation) • Acute ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... > Constrictive pericarditis ... - Pulmonary >> Acute ... Anaphylactic >> IM
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... depression Pericarditis ... #cardiology #ecg ... #ekg #electrocardiogram
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... , Arrythmias, Pericarditis ... , Tamponade EKG ... #Myocarditis #diagnosis ... #summary #biopsy
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... are excellent at evaluating ... ECG is vital while ... essentially Cardiogenic Shock ... Cardiac cath if acute