Download PDF
Pericarditis
Definition
Inflammation of the pericardium.
History/Physical Exam
- Recent MI or CABG surgery, recent infection, recent chest trauma, chronic immune suppression, HIV. Sharp, pleuritic sub-sternal pain worsening when supine.
- May have a pleural friction rub. May demonstrate Beck's triad - hypotension, muffled heart sounds, and JVD.
Key 12-Lead Features
- Widespread concave ST elevation and PR depression
- Reciprocal ST depression and PR elevation in lead aVR
- Measure baseline via TP Segment
- Sinus tachycardia is also common in acute pericarditis due to pain and/or pericardial effusion
Sample 12 Lead
References
- Kinyasheva, N. Acute Pericarditis Within The Differential Diagnosis Of Chest Pain. 2017. [Link]