Home / Dyspnea and Fever: ECG Quiz : Answers

Dyspnea and Fever: ECG Quiz : Answers

 

Pericarditis-2-60secondEM

 

 

 

 

 

 

Answer: The ECG shows evidence of sinus tachycardia with a ventricular rate of 112 bpm. Diffuse concave-upward ST-segment elevation (yellow arrows), ST-segment depression in aVR (blue arrow) and PR-segment depression (often best demonstrated in leads II and V3) are shown. These findings are most consistent with stage 1 of acute pericarditis. Note the lack of reciprocal ST-segment changes, an important feature that differentiates acute pericarditis from acute myocardial infarction.

 

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