Key result
Diffuse concave ST elevation and PR depression differentiate post-MI pericarditis from recurrent infarction.
Why the study?
Differentiating causes of ST segment elevation in multiple leads, such as post-MI pericarditis versus recurrent infarction, relies on clinical and ECG features and can be diagnostically challenging.
Case Report (n=1)
No
Answers are grounded in this paper and cite their sources.
Specific electrocardiogram features can help differentiate post-myocardial infarction pericarditis from recurrent infarction.
There are many causes of ST segment elevation in multiple leads in electrocardiogram.Differentiation is based on history, clinical examination and most importantly on electrocardiogram features like nature of ST segment elevation, leads specific ST segment elevation, reciprocal changes, presence or absence of Q wave, PR segment depression and ST/T wave ratio in V6.We report a case of 57 year male, presented with acute coronary syndrome in form of ST elevation inferolateral myocardial infarction and subsequently on day 3rd he developed chest pain, the diagnosis of post myocardial infarction pericarditis was made based on specific electrocardiogram findings.
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Sondhi et al. (2017) conducted a case report in Post-myocardial infarction pericarditis (n=1). Electrocardiogram (ECG) was evaluated on Diagnosis and symptom resolution. Specific electrocardiogram findings, including diffuse concave ST segment elevation and PR segment depression, successfully differentiated post-myocardial infarction pericarditis from recurrent infarction in a 57-year-old male.
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