Tag: Spodick’s sign

  • How to distinguish pericarditis from STEMI

    How to distinguish pericarditis from STEMI

    The Problem Diffuse, convex (up) ST segment elevations with or without PR-segment depressions can be seen in both pericarditis or ST-segment Elevation Myocardial Infarction (STEMI), particularly if the patient has a wraparound LAD which supplies the inferior wall. So how can one reliably distinguish pericarditis from STEMI? The Solution If any of the following are present, a STEMI…