🩺 Pericarditis vs. MI: The Key Differences

► Sign up here and try our FREE content: lectur.io/freec...
► If you’re an medical educator or faculty member, visit: lectur.io/medytb2u
► This video provides an essential guide to differentiating between two conditions that can both present with ST segment elevation on an ECG: myocardial infarction (MI) and pericarditis. ST segment elevation is a key finding in both conditions, but there are subtle differences that can help healthcare professionals make an accurate diagnosis.
The video begins by explaining the concept of 'diffuse ST segment elevation,' which occurs across multiple ECG leads. This pattern is commonly seen in pericarditis, an inflammation of the pericardium, the sac surrounding the heart. Unlike myocardial infarction, where ST segment elevation is typically localized and often accompanied by reciprocal changes (ST depression in the opposite leads), pericarditis presents with widespread ST elevation without reciprocal changes. The absence of these reciprocal changes is a critical clue in distinguishing pericarditis from an MI.
Additionally, the video discusses the clinical symptoms that differentiate these two conditions. Patients with an MI often experience chest pain that is not affected by breathing or changes in position. In contrast, the chest pain associated with pericarditis typically worsens with deep breaths or when lying flat, and it may improve when sitting up or leaning forward. Pericarditis can also occur in younger patients who do not have traditional risk factors for heart disease, such as atherosclerosis, making it crucial to consider in differential diagnosis.
This video is invaluable for medical professionals who need to quickly and accurately diagnose chest pain in clinical settings. It provides a thorough understanding of the ECG characteristics of pericarditis and myocardial infarction, helping viewers avoid common diagnostic pitfalls and ensure appropriate treatment for their patients.
► THE PROF 👨‍🏫
Your lecturer is Joseph Alpert M.D. He is Professor of Medicine at the Sarver Heart Center as well as Director of Coronary Care and Medical Director of Cardiac Rehabilitation at the University of Arizona. Additionally, he is a member of the most important cardiologic institutions such as the American Heart Association and the European Society of Cardiology. Because of his outstanding teaching proficiency he is board certified in internal medicine and cardiovascular disease and has won many teaching awards such as the George W. Thorn Award for Excellence in Teaching, the William Osler Master Teacher Award, and the Edward Rhodes Stitt Award for Outstanding Teaching. Furthermore, he received the Distinguished Achievement Award from the Clinical Cardiology Council of the American Heart Association and was selected “Gifted Teacher of the Year” in 2004 by the American College of Cardiology. 🩺
► LECTURIO Medical is your all-in-one medical school study companion! 💚 With our easy-to-follow videos, exam replicating clinical case questions and our comprehensive medical concept pages you will be best prepared for all your exams. Discover more and try our FREE content: lectur.io/freec...
► INSTALL our free Lecturio app
iTunes Store: app.adjust.com...
Play Store: app.adjust.com...
► LET’S CONNECT:
• Facebook: / lecturio.medical.educa...
• Instagram: / lecturio_medical_videos
• Pinterest: www.pinterest....
• LinkedIn: / lecturio-medical

[@lecturiomedical]

Have you ever had to distinguish between pericarditis and MI on an ECG? What clues helped you the most?

[@elitevanilla5297]

What are you talking about? Sorry I couldn’t pay attention. Those eyes are so close together.

[@nullnull7495]

Diffuse St segment elevation just like you described. 😊

[@game_441]

Wow sir,I have seen pericarditis patient in my ward.He is telling the same complaint as you told.and he was young too
How did you know that sir
I am 22 year old mbbs student from India.