tag:blogger.com,1999:blog-549949223388475481.post2314908935459207146..comments2024-03-26T22:42:04.176-05:00Comments on Dr. Smith's ECG Blog: Chest pain and ST-segment ElevationUnknownnoreply@blogger.comBlogger2125tag:blogger.com,1999:blog-549949223388475481.post-52791097057157153922012-06-26T13:05:01.397-05:002012-06-26T13:05:01.397-05:00That's a tough question. I am not entirely up...That's a tough question. I am not entirely up to date on this literature. I suspect that just about all pericarditis now have some positive troponin, because trops are so sensitive. What I would definitely do before sending anyone home is an ultrasound (bedside or formal) to be certain:<br />1) there is not a large effusion<br />2) there is good function, as myocarditis can cause pump failure.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-27708698679698643502012-06-26T09:17:35.014-05:002012-06-26T09:17:35.014-05:00Question about pericarditis and myocarditis: When ...Question about pericarditis and myocarditis: When I suspect pericarditis in presentations such as this, I often do not get troponins and send the patient home instead with NSAIDS for pain relief and primary care follow up. However, in this case the patient had myocarditis. I recently a bad case of this disease which makes me less comfortable anymore with a minimal work up for young with pericarditis. So, the question is when do you send troponins for pericarditis? Everyone? Do you only get an echo if there is a bump? ThanksAnonymoushttps://www.blogger.com/profile/12579841971982686788noreply@blogger.com