| Differential characteristics of the electrocardiogram in early repolarization and acute pericarditis. | |
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MedLine Citation:
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PMID: 950958 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Electrocardiographic mimicry necessitates differentiation between acute pericarditis and early repolarization. Among 96 persons, limb-lead RST deviations occurred in all 48 with pericarditis, but only 27 with early repolarization. RS-T vectors (A RS-T) in pericarditis tended to be horizontal (25 patients) and left of the T vector, A T (28 patients); in early repolarization, A RS-T was vertical in 15 subjects and right of A T (20 subjects); P less than or equal to 0.01. RS-T depression in Lead V1 was more common in pericarditis (14 vs. two); isoelectric RS-T in Lead V6 was more common in early repolarization (10 vs. one); P less than or equal to 0.01. PR segment deviations occurred in both limb and precordial leads in pericarditis; in early repolarization they were confined to either lead group. Thus, R-ST deviations in both limb and precordial leads with horizontal A RS-T to left of A T and RS-T depression in Lead V1 favor pericarditis; vertical A RS-T and isoelectric RS-T in Lead V6 favor early repolarization. |
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Authors:
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D H Spodick |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The New England journal of medicine Volume: 295 ISSN: 0028-4793 ISO Abbreviation: N. Engl. J. Med. Publication Date: 1976 Sep |
Date Detail:
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Created Date: 1976-10-02 Completed Date: 1976-10-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0255562 Medline TA: N Engl J Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 523-6 Citation Subset: AIM; IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Diagnosis, Differential Electrocardiography* Humans Pericarditis / diagnosis* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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