Tuberculous pericarditis electrocardiogram

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Tuberculous pericarditis Microchapters

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Case #1

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.

Electrocardiogram

The ECG may show non-specific ST-T-wave changes[1][2]. Characteristic EKG finding of acute pericarditis, PR-segment depression and diffuse ST-segment elevation are found in only 9-11% of cases[3][2]. The presence of a low QRS voltage and electrical alternans suggests the presence of a pericardial effusion and / or tamponade.

References

  1. SCHRIRE V (1959). "Experience with pericarditis at Groote Schuur Hospital, Cape Town: an analysis of one hundred and sixty cases studied over a six-year period.". S Afr Med J 33: 810-7. PMID 14443596.
  2. 2.0 2.1 Smedema JP, Katjitae I, Reuter H, Burgess L, Louw V, Pretorius M et al. (2001). "Twelve-lead electrocardiography in tuberculous pericarditis.". Cardiovasc J S Afr 12 (1): 31-4. PMID 11447490.
  3. Rooney JJ, Crocco JA, Lyons HA (1970). "Tuberculous pericarditis.". Ann Intern Med 72 (1): 73-81. PMID 5410398.

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