tag:blogger.com,1999:blog-549949223388475481.post1935503672446524337..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: A patient with chest pain and dynamic ST elevationUnknownnoreply@blogger.comBlogger8125tag:blogger.com,1999:blog-549949223388475481.post-84519362078531388882019-01-11T12:36:43.701-06:002019-01-11T12:36:43.701-06:00You got it exactly!You got it exactly!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-43049664448662205172019-01-11T12:36:14.821-06:002019-01-11T12:36:14.821-06:00Sorry, Misspoke: with STD in aVL, we should have s...Sorry, Misspoke: with STD in aVL, we should have stated myopericarditis, not pericarditisSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-88167971269328683682019-01-11T12:34:54.000-06:002019-01-11T12:34:54.000-06:00Thanks!
Probably not. Myocarditis is just as likel...Thanks!<br />Probably not. Myocarditis is just as likely to have reciprocal ST depression as MI. Pericarditis is not. Myocarditis causes myocardial injury just like MI, whereas pericarditis does not. Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-13426986043438499662019-01-10T08:07:13.872-06:002019-01-10T08:07:13.872-06:00Myocarditis also gives recipricol changes, such as...Myocarditis also gives recipricol changes, such as in aVL in both ECG #2 and #4. Pericarditis should not give recipricol changes. I always use your concept of diagnosing pericarditis at your own peril. And I teach this aswell. Good case!Trey Thomashttps://www.blogger.com/profile/17133237347400525037noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-48323969795318919032019-01-10T00:09:27.838-06:002019-01-10T00:09:27.838-06:00I'm little confused because you stated it migh...I'm little confused because you stated it might be pericarditis despite dynamic STD in aVL - and I thought STD excluded pericarditis (but not myopericarditis).Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-43066405814858329882019-01-09T15:19:42.806-06:002019-01-09T15:19:42.806-06:00Thanks again Dr Smith Great case. I wonder if The ...Thanks again Dr Smith Great case. I wonder if The absence of clear cut STD during ST elevation <br />bears more weight on myopericarditis than STEMI Dx?<br /><br />Hector Munozhttps://www.blogger.com/profile/10157498764409620840noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-6387508263230580992019-01-09T11:33:38.012-06:002019-01-09T11:33:38.012-06:00the myocardium must be also involved as there is a...the myocardium must be also involved as there is an elevated troponin. Elevated troponin with rise and/or fall diagnoses acute myocardial injury. in this case, the injury is due to inflammation.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-77279228345297992442019-01-09T11:30:52.575-06:002019-01-09T11:30:52.575-06:00Why does the diagnosis is not pericarditis but myo...Why does the diagnosis is not pericarditis but myopericarditis?Endohttps://www.blogger.com/profile/05536946426296783027noreply@blogger.com