Tuberculosis electrocardiogram: Difference between revisions

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{{Tuberculosis}}
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==Overview==
==Overview==
Patients with pulmonary tuberculosis usually have a normal [[EKG]], but [[pericardial effusion]] might develop and lead to [[EKG]] changes.   Extra-pulmonary tuberculosis, such as [[tuberculous pericarditis]], can present with [[EKG]] changes.
Patients with [[pulmonary tuberculosis]] often have a normal [[EKG]], but [[pericardial effusion]] may occur leading to [[EKG]] changes. Extra-pulmonary tuberculosis, such as [[tuberculous pericarditis]], can show [[EKG]] changes.


==Electrocardiogram==
==Electrocardiogram==
*Patients can develop a [[pericardial effusion]] secondary to tuberculosis and this might be manifested as low voltage and [[tachycardia]] on an EKG.
 
*In in cases of [[tuberculous pericarditis]] the [[ECG]] may show non-specific ST-T-wave changes.<ref name="pmid14443596">{{cite journal| author=SCHRIRE V| title=Experience with pericarditis at Groote Schuur Hospital, Cape Town: an analysis of one hundred and sixty cases studied over a six-year period. | journal=S Afr Med J | year= 1959 | volume= 33 | issue=  | pages= 810-7 | pmid=14443596 | doi= | pmc= | url= }} </ref><ref name="pmid11447490">{{cite journal| author=Smedema JP, Katjitae I, Reuter H, Burgess L, Louw V, Pretorius M et al.| title=Twelve-lead electrocardiography in tuberculous pericarditis. | journal=Cardiovasc J S Afr | year= 2001 | volume= 12 | issue= 1 | pages= 31-4 | pmid=11447490 | doi= | pmc= | url= }} </ref>  
*Patients may get a [[pericardial effusion]] secondary to [[tuberculosis]] and this may present as as low [[voltage]] and [[tachycardia]] on an [[EKG]].
*Characteristic EKG finding of acute pericarditis, PR-segment depression and diffuse ST-segment elevation are found in only 9-11% of cases<ref name="pmid5410398">{{cite journal| author=Rooney JJ, Crocco JA, Lyons HA| title=Tuberculous pericarditis. | journal=Ann Intern Med | year= 1970 | volume= 72 | issue= 1 | pages= 73-81 | pmid=5410398 | doi= | pmc= | url= }} </ref><ref name="pmid11447490">{{cite journal| author=Smedema JP, Katjitae I, Reuter H, Burgess L, Louw V, Pretorius M et al.| title=Twelve-lead electrocardiography in tuberculous pericarditis. | journal=Cardiovasc J S Afr | year= 2001 | volume= 12 | issue= 1 | pages= 31-4 | pmid=11447490 | doi= | pmc= | url= }} </ref>.  
*In patients who develop [[tuberculous pericarditis]], the [[ECG]] may show non-specific [[ST segment]] and [[T wave|T-wave]] changes.<ref name="pmid14443596">{{cite journal| author=SCHRIRE V| title=Experience with pericarditis at Groote Schuur Hospital, Cape Town: an analysis of one hundred and sixty cases studied over a six-year period. | journal=S Afr Med J | year= 1959 | volume= 33 | issue=  | pages= 810-7 | pmid=14443596 | doi= | pmc= | url= }} </ref><ref name="pmid11447490">{{cite journal| author=Smedema JP, Katjitae I, Reuter H, Burgess L, Louw V, Pretorius M et al.| title=Twelve-lead electrocardiography in tuberculous pericarditis. | journal=Cardiovasc J S Afr | year= 2001 | volume= 12 | issue= 1 | pages= 31-4 | pmid=11447490 | doi= | pmc= | url= }} </ref>
*The presence of a [[low QRS voltage]] and [[electrical alternans]] suggests the presence of a [[pericardial effusion]] and / or [[tamponade]].
*Characteristic EKG finding of [[acute pericarditis]], [[PR-segment depression]], and [[diffuse ST-segment elevation]] are found in only 9-11% of cases<ref name="pmid5410398">{{cite journal| author=Rooney JJ, Crocco JA, Lyons HA| title=Tuberculous pericarditis. | journal=Ann Intern Med | year= 1970 | volume= 72 | issue= 1 | pages= 73-81 | pmid=5410398 | doi= | pmc= | url= }} </ref><ref name="pmid11447490">{{cite journal| author=Smedema JP, Katjitae I, Reuter H, Burgess L, Louw V, Pretorius M et al.| title=Twelve-lead electrocardiography in tuberculous pericarditis. | journal=Cardiovasc J S Afr | year= 2001 | volume= 12 | issue= 1 | pages= 31-4 | pmid=11447490 | doi= | pmc= | url= }} </ref>.
*The detection of a [[low QRS voltage]] and [[electrical alternans]] on [[The electrocardiogram|EKG]] indicates a [[pericardial effusion]] and / or [[tamponade]].


==References==
==References==
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Pulmonology]]
[[Category: Pulmonology]]
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[[Category:Bacterial diseases]]
[[Category:Bacterial diseases]]

Latest revision as of 08:56, 26 March 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mashal Awais, M.D.[2]; Alejandro Lemor, M.D. [3]

Overview

Patients with pulmonary tuberculosis often have a normal EKG, but pericardial effusion may occur leading to EKG changes. Extra-pulmonary tuberculosis, such as tuberculous pericarditis, can show EKG changes.

Electrocardiogram

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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