Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Acute pericarditis is a clinical inflammatory syndrome. The diagnosis is made when at least two of the following four criteria are present: (1) characteristic chest pain; (2) presence of pericardial friction rub; (3) ECG changes (up to 60% of patients); and (4) pericardial effusion (detected by imaging techniques in up to 60% of patients).1 While it is commonly believed that diffuse ST segment elevation with concomitant ST depression in lead aVR (and V1) and with PR segment depression is typically detected in patients with acute pericarditis, this classic pattern is seen in less than 60% of patients. For example, Imazio et al 2 reported ST segment elevation in only 25% of their cohort of 240 patients with pericarditis. The classic ECG findings are seen mainly in the early phase (stage 1) of acute pericarditis and typically persist up to 2 weeks after symptom onset.3 Later on, ST segment elevation resolves, and T waves become flat or inverted. These changes can persist for several weeks until complete resolution (stage 4).3 However, it should be noted that …
Contributors Both authors wrote and reviewed the editorial.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Commissioned; externally peer reviewed.