ECG Strip 07

 

ECG Strip 07 - pericarditis
 

Approximately 26 years old patient has been hospitalized because of chest pain. The pain is described as stinging, located in left part of the chest and increased during inspiration. In addition, the patient complains about chills and during the admission he has a body temperature of 37.4°C. ECG record made during the inpatient admission is without any important changes. CRP is not elevated and chest X-ray is without pathology, we assume a left-sided pleurisy. The next day, the checking ECG shows following pathological changes – ST interval elevations in II, III, aVF, V4-V6. Cardiac enzymes are repeatedly negative. Echocardiography has been indicated and it shows a little amount of fluid within pericardium. These findings practically confirm a pericarditis, probably of a viral origin.