Title: Pericarditis vs STEMI<br/>Author: Leen Alblaihed<br/><a href='http://umem.org/profiles/faculty/1309/'>[Click to email author]</a><hr/><p> a 37 year old patient comes in with chest pain, you obtain the following ECG. Is this a STEMI or Pericarditis? </p> <p> </p> <p> </p> <p> <img alt="" src="https://umem.org/files/uploads/content/Leen%20Alblaihed/stemi%20vs%20pericarditis%20.jpg" style="width: 900px; height: 439px;" /></p> <p> How can you tell? well, you follow the algorithm Dr. Mattu taught us....</p> <p> </p> <p> <img alt="" src="https://umem.org/files/uploads/content/Leen%20Alblaihed/Stemi%20vs%20peri%20.jpg" style="width: 500px; height: 281px;" /></p> <p> </p> <p> The ECG above, if you go through the algorithm you will see that it is most likely pericarditis. </p> <p> note that PR depression can be transient and you might not see them. </p> <p> When in doubt, it is not wrong to consult cardiology. Getting serial ECGs also is important, STEMIs will usually evolve. </p> <p> </p>