|
|
Post by pbruss on Oct 17, 2014 3:33:04 GMT -5
Dr Kim and i came up with an interesting project tonight. Check out the 4 ekgs (3this thread and a 4th on the next thread). All of these patiens came inot the Er and had EKGs but had no cardiovascular complaints, no Cp, SOB, dizzy, lightheaded, weakness, ect. All 4 of these patients share medical condition. It was a know condition they had on their PMHX and they all had it way before their presentation to the ER. We think this medical condition is related to the common EKG finding and we mean to prove it in a retrospective research project. I know this is kind of vague but can anyone think of a medical condition that they all shared? |
|
|
|
Post by Bjs04f on Oct 18, 2014 15:12:55 GMT -5
they all have terminal qrs slurring seen in early repolarization. What condition they could have is beyond me as this isnt a well understood phenomenon, perhaps LVH
|
|
|
|
Post by kemple on Oct 19, 2014 11:45:59 GMT -5
sometimes you can get a dig effect on the ST segment.
|
|
|
|
Post by pbruss on Oct 20, 2014 22:15:08 GMT -5
you guys are spot on with the EKG interp. but would you agree that they all show some signs of pericarditis? diffuse concave up st elevation with diffuse PR depression and PR elevation in AVR. i have seen a lot of mostly young people with EKGs sugestive of pericardidit eventhough they have so symptoms of pericarditis. All of these patiesnt have Lupus. Dr Kim and i mean to show that patients with chronic inflamitory disease like lupus sarcoidosis ect may have an EKG that has pericarditis findings with no symptoms indicating a chroic constrictive pericarditis. and maybe someday show that this is an indicator of increased morbility and or mortality.
so if you see an ekg for a patient of yours that looks like pericarditits but they have no symptoms it might be interesting to ask if they have an underlying inflamitory disease.
|
|
|
|
Post by kemple on Oct 21, 2014 10:19:11 GMT -5
That's cool. Enough said lol.
|
|
jmfkmd
Junior Member
Posts: 14 
|
Post by jmfkmd on Oct 25, 2014 14:56:25 GMT -5
Yeah, it was pretty interesting... after seeing a patient with this ekg and correlating it with her Lupus PMHx, we opened the folder and quickly found a handful of more ekg's with similar patterns and without fail... Lupus was in their PMHx. Pretty neat. Sure, it could be early-repol but either way... could be a link between Chronic Inflammatory processes with either pericarditic or early-polarific EKG patterns.
So, if you happen to come across similar EKG's please either snap a non-HIPAA photo and confirm if the patient has any chronic inflammatory pmhx... then let me know so I can start logging them in for data. Thanks guys!
|
|
