01.07.2014 Views

ECG's for practice - Living on the EDge

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Acute pericarditis. The ST segment (l<strong>on</strong>g arrows) is elevated in all leads (universal elevati<strong>on</strong> in c<strong>on</strong>trast to <strong>the</strong> focal elevati<strong>on</strong> in acute<br />

myocardial infarcti<strong>on</strong>), with no reciprocal change. The ST-segment elevati<strong>on</strong> shows upward c<strong>on</strong>cavity (so-called "smiling face"). The PR<br />

interval (short arrow) is depressed because of inflammatory changes involving <strong>the</strong> atrial wall.

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