Myths and Realities of Pericarditis:
Myth: only pericarditis causes convex (up) ST segments Reality: Convex ST segments can be seen in STEMI as well Myth: pericarditis causes only defuse ST elevations Reality: Pericarditis causes localized ST elevations as well Myth: only pericarditis causes defuse ST elevations Reality: diffuse ST elevations can be see in STEMI as well Myth: only pericarditis causes PR depressions Reality: PR depressions are common in STEMI as well Myth: only pericarditis causes PR segment elevation in aVR. Reality: PR segment elevation in aVR can be seen in STEMIs as well Myth: pericarditis can be almost always be distinguished from STEMI on EKG Reality: a single EKG is often insufficient. Tough cases may require serial, history and physical examinations, electrocardiograms, troponins, an echocardiograms and sometimes cardiac catheterization. Read more... http://www.medicalmediareview.com/
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