Pericarditis - Spodick-sign¶
Pericarditiis¶
- Concave ST elevation
- Spodick sign
DXD Pericarditis vs benign early repolarisation¶
| Pericarditis | BER |
|---|---|
| Both concave ST elevation | Both concave ST elevation |
| ST segment height =2mm | ST segment height = 1 mm |
-
- fish hook text
- Downsloping TP segment seen as an early ECG manifestation in ~30% of patients with pericarditis, in leads II and the lateral precordial leads
Example 1¶
Acute pericarditis:
- Sinus tachycardia
- Widespread concave STE and PR depression (I, II, III, aVF, V4-6).
- Reciprocal ST depression and PR elevation in V1 and aVR
- Spodick’s sign best visualised in lead II
Example 2¶
- Spodick sign in Precordial leads
Example3¶
