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EKG Criteria in Pericarditis

7/13/2016

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Inflammation of the pericardium, usually after a viral infection, presenting classically with chest pain that improves when leaning forward, tachycardia, and dyspnea. Can be associated with a friction rub or pericardial effusion. 
Picture
In pericarditis four stages can be distinguished on the ECG:
  • stage I: ST elevation in all leads. PTa depression (depression between the end of the P-wave and the beginning of the QRS- complex). ST elevation should be present in all leads except aVR, V1, III. 
  • stage II: pseudonormalisation (transition)
  • stage III: inverted T-waves
  • stage IV: normalisation
Picture
Sources:
​ECGpedia
; http://en.ecgpedia.org/index.php?title=Pericarditis
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  • Clinical
    • Discharge Macros
    • Procedure Macros
    • Exam Macros
    • Pediatric Macros
    • Antibiogram
    • Follow Up
    • 2023 MDM
    • Heart Pathway
    • Jeromy's Macros
  • Education
    • EM Education
    • Critical Care
    • FOAM
  • Orientation
    • Dept Orientation
    • Cerner
    • Dragon
  • Links
    • Clinical Links
    • StatMacros
    • ICU Bootcamp
  • Private
    • MCS
    • GWU Contacts & Map