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Pericarditis Overview and ECG Findings

Jul 3, 2025

Overview

This lecture covers pericarditis, focusing on its causes, symptoms, and characteristic ECG findings.

Causes of Pericarditis

  • Pericarditis is inflammation of the pericardium, the thin sac around the heart.
  • Causes include infections, localized injury, inflammatory disorders, and post-cardiac injury syndrome.

Clinical Presentation

  • Chest pain is a common symptom, typically worsening when lying flat (supine) and improving when leaning forward.

ECG Findings in Pericarditis

  • Most leads show concave ST elevation and PR depression.
  • Reciprocal ST depression and PR elevation are seen in leads aVR and V1.

Key Terms & Definitions

  • Pericardium — thin, sac-like tissue surrounding the heart.
  • Pericarditis — inflammation of the pericardium.
  • Supine Position — lying flat on the back.
  • ECG (Electrocardiogram) — a test recording the heart's electrical activity.
  • Concave ST Elevation — upward curve in the ST segment on ECG.
  • PR Depression — lowering of PR segment on ECG.
  • Reciprocal Changes — opposite ECG changes in specific leads.

Action Items / Next Steps

  • Review ECG patterns associated with pericarditis.
  • Read about other causes and treatments of pericarditis.