دورية أكاديمية
PR depression with multi‑lead ST elevation and ST depression in aVR: Is it always acute pericarditis?
| العنوان: | PR depression with multi‑lead ST elevation and ST depression in aVR: Is it always acute pericarditis? |
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| المؤلفون: | Birnbaum Y; The Section of Cardiology, Baylor College of Medicine and Texas Heart Institute, Baylor St, Luke Medical Center, Houston, TX, USA. Electronic address: ybirnbau@bcm.edu., Perez Riera AR; Design of Studies and Scientific Writing Laboratory in the ABC Faculty of Medicine, São Paulo, Brazil., Nikus K; Heart Center, Tampere University Hospital and Faculty of Medicine and Life Sciences, University of Tampere, Finland. |
| المصدر: | Journal of electrocardiology [J Electrocardiol] 2019 May - Jun; Vol. 54, pp. 13-17. Date of Electronic Publication: 2019 Jan 24. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Churchill Livingstone Country of Publication: United States NLM ID: 0153605 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8430 (Electronic) Linking ISSN: 00220736 NLM ISO Abbreviation: J Electrocardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York, NY : Churchill Livingstone Original Publication: South Burlington, Vt., Research in Electrocardiology, inc. |
| مواضيع طبية MeSH: | Electrocardiography*, Pericarditis/*diagnosis, Acute Disease ; Adult ; Diagnosis, Differential ; Female ; Humans ; Male ; Middle Aged ; Pericarditis/physiopathology |
| مستخلص: | The classic electrocardiographic (ECG) manifestation of stage I of acute pericarditis is diffuse ST elevation and PR depression with ST depression in lead aVR. One of the most common conditions, that is often confused with acute pericarditis, is the benign diffuse ST elevation, termed "early repolarization with ST elevation" (ERSTE). ERSTE often presents with diffuse ST elevation in the inferior and anterolateral leads, with or without terminal QRS notching or slurring. As ERSTE often presents with ST elevation in leads I and II, frequently there is concomitant ST depression in lead aVR, similar to the acute pericarditis ECG pattern. Moreover, PR depression in the inferior leads and/or PR elevation in lead aVR is often seen. Here we describe four patients with ERSTE, all had ST elevation in II with either ST elevation or isoelectric ST in lead I and concomitant ST depression in aVR. Two also had PR depression in the inferior leads. None of the patients had clinical symptoms or signs of acute pericarditis. In conclusion, diffuse ST elevation in the inferolateral leads associated with ST depression in aVR and even with PR segment depression is commonly found in ERSTE and should not be considered as pathognomonic of only acute pericarditis. (Copyright © 2019 Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20190226 Date Completed: 20200915 Latest Revision: 20200915 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jelectrocard.2019.01.085 |
| PMID: | 30802680 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-8430 |
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| DOI: | 10.1016/j.jelectrocard.2019.01.085 |