STEMI와 pericarditis의 심전도 구분

STEMI와 pericarditis의 심전도 구분은 다음 글에 나와 있습니다.

https://www.medicalmediareview.com/how-to-distinguish-pericarditis-from-stemi/

https://www.medicalmediareview.com/how-to-distinguish-pericarditis-from-stemi/

https://www.medicalmediareview.com/how-to-distinguish-pericarditis-from-stemi/

​

​

여기에 언급된 내용과 거의 비슷한 강의가 다음 심전도 사이트에서 들을 수 있습니다(유료)

https://ecgweekly.com/2019/11/amal-mattus-ecg-case-of-the-week-november-18-2019/

https://ecgweekly.com/2019/11/amal-mattus-ecg-case-of-the-week-november-18-2019/

​

​

서로이웃 글에만 공개된 다음 블로그에서도 확인 가능합니다.

https://blog.naver.com/sjloveu2/221712703974

ECG findings in STEMI vs. Acute Pericarditis

Know the differences in ECG findings & use a stepwise approach

​

Step 1. Factors that strongly suggest STEMI:

■ Reciprocal ST depression in any leads (except aVR & V1)

■ Horizontal or convex upward ST-segment morphology

■ STE in lead III > the STE in lead II ​​​​​​​​

■ Q-waves that you know are new​​ (be cautious it they are old)

■ R-T sign or “checkmark sign” (

Look for the factors that rule in STEMI before thinking pericarditis!

Step 2. Factors that suggest pericarditis (only after step 1):

■ Pronounced PR-segment depression in multiple leads (only reliably seen in viral acute pericarditis, may be transient)

■ Pericardial friction rub

■ Spodick sign (may be suggestive of pericarditis if no signs of STEMI found)

When in doubt…do serial ECGs and consider CATH!