layers of the heart… pericardial amp; myocardial disease：心脏的心脏、心包、心肌疾病ppt课件.pptxVIP

Pericarditis Pericardial Effusion TamponadeWBC Trop ESR/CRPCK, CK-MB LytesBUNCreatUrine and Serum toxStageTime FrameEKG Findings1First hours-daysDiffuse ST elevation (concave up)Reciprocal ST depression in aVR and V1Elevated PR segment in aVR and depression of PR elsewhere (highly specific)2VariableNormalization of ST and PR segmentsT wave flattening3VariableDiffuse T wave inversions May not be seen in some patients4Weeks -monthsNormalizationMay have persistent T wave inversions EKG FindingsPericarditisMIST segment elevationBegins at the J pointRarely 5mmRetains concavityTypical pattern is