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심장내과/심전도

급성심장막염 심전도, Acute pericarditis, ECG

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https://blog.naver.com/sjloveu2/222023009499

급성심장막염으로 내원한 환자의 심전도입니다. ㉮ Widespread concave ST elevation and PR depression, ㉯ Reciprocal ST depression and PR elevation in lead aVR (± V1), ㉰ Sinus tachycardia 소견이 모두 있습니다. 심박수는 96 회/분로 100회/분에 약간 못 미칩니다.

How To Recognise Pericarditis

㉮ Widespread concave ST elevation and PR depression throughout most of the limb leads (I, II, III, aVL, aVF) and precordial leads (V2-6).

㉯ Reciprocal ST depression and PR elevation in lead aVR (± V1).

㉰ Sinus tachycardia is also common in acute pericarditis due to pain and/or pericardial effusion.

ST- and PR-segment changes are relative to the baseline formed by the T-P segment.

The degree of ST elevation is typically modest (0.5 – 1mm).

REF. https://litfl.com/pericarditis-ecg-library/

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