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- 84 bpm
- Sinus rhythm
- PR - Normal (~200ms)
- QRS - Normal (100ms)
- QT - 340ms (QTc Bazette 400 ms)
- ST Elevation leads I, II, III, aVF, V1-6
- Concave morphology
- ST Depression lead aVR
- PR depression globally (expect aVL & aVR)
- Clinical history and ECG features consistent with pericarditis
- Potential element of underlying BERP - no old ECG's to compare
What happened ?
The patient had negative serial troponins and an echo which did not show a pericardial effusion. A diagnosis of uncomplicated pericarditis was made and he was discharged with NSAIDs.
Pericarditis has multiple causes including:
- Infective - viral, bacterial, fungal, TB
- Auto-immune - SLE
- Post myocardial infarction
- Post surgical
- Post radiotherapy
- Drug induced
References / Further Reading
Life in the Fast Lane
- Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.