tag:blogger.com,1999:blog-549949223388475481.post512130435109287713..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Diffuse ST elevation and Chest pain in an Agitated Middle-aged male: Anterior STEMI or Takotsubo Stress Cardiomyopathy?Unknownnoreply@blogger.comBlogger4125tag:blogger.com,1999:blog-549949223388475481.post-59342605383686686342013-09-04T13:49:39.887-05:002013-09-04T13:49:39.887-05:00Pericarditis does not have hyperacute T-waves, or ...Pericarditis does not have hyperacute T-waves, or reciprocal ST depression in aVL. Furthermore, it does not have wall motion abnormalities. Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-71557627179102494252013-09-04T13:37:22.461-05:002013-09-04T13:37:22.461-05:00Why it's not acute pericarditis?Why it's not acute pericarditis?Ahmadhttps://www.blogger.com/profile/13823505739070974000noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-2235786590606603762013-08-27T07:44:06.782-05:002013-08-27T07:44:06.782-05:00That is, of course, the state of the art now. How...That is, of course, the state of the art now. However, we should always be looking for ways to predict that the angiogram will be normal without having to do it. It may be that features of the ECG and/or echocardiogram may be found to do this.<br /><br />Steve SmithSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-57663678895871445152013-08-26T20:37:44.135-05:002013-08-26T20:37:44.135-05:00I agree with your final assessment Dr. Smith; part...I agree with your final assessment Dr. Smith; part of the definition of Takotsubo cardiomyopathy includes "a normal coronary angiogram." Therefore, one can only make this diagnosis following a normal coronary angiogram. Of course, one may suspect it with the echocardiogram or cardiac MRI demonstrating mid-ventricular regional wall-motion abnormality, but can never be definitive about it without an angiogram.drmaxdiashttps://www.blogger.com/profile/09638781869589167093noreply@blogger.com