This ECG is from a 24 year old male who presents with chest pain.
He is normally fit & well.
Vital signs: BP 134/76 RR 16 Sats 99% RA Temp 36.8
Check out the comments at our original post here.
|Click to enlarge|
- Sinus Rhythm
- Inferior / Right Axis Deviation (~95 deg)
- PR – Normal (~170ms)
- QRS – Normal (80ms)
- QT – 320ms (QTc Bazette ~ 400 ms)
- PR Depression Leads II, III, aVF, V2
- PR Elevation possibly in aVR
- Concave ST Elevation leads II, III, aVF, V2-6
- ST Depression aVR
- Downsloping of the T-P segment
- Spodick’s Sign
- Best appreciated in leads II, V3-6
It seems pericarditis is one of the most blogged about ECG findings.
I have no intention of reinventing the wheel, but thought this was a nice ECG to share, so I’m just going to point you to a few discussions / examples / guidelines / reviews on pericarditis, below.
- Life in the Fast Lane – ECG Library
- Amal Mattu’s EKG Videos
- Episode 52 – ECG finding’s in Pericarditis vs STEMI
- Episode 65 – Spodick’s Sign
- Episode 68 – STEMI vs Pericarditis: Don’t be fooled
- Episode 84 – When Pericarditis isn’t Pericarditis
- Dr Ken Grauer’s ECG Interpretation Blog
- Dr Smith’s ECG Blog
- Is it MI or Pericarditis ?
- Is it MI or Pericarditis 2 ?
- Severe Atypical Chest Pain in a young woman ECG Series
- European Socitey of Cardiology
- Pericardial Disease: Diagnosis & Management Review Paper
- Khandaker MH, Espinosa RE, Nishimura RA, Sinak LJ, Hayes SN, Melduni RM, Oh JK. Pericardial Disease: Diagnosis and Management. Mayo Clin Proc. 2010 June; 85(6): 572–593.