STAT ECG Diagnoses: are ECG abnormalities necessary for the diagnosis of acute pericarditis?

ECG Weekly Workout with Dr. Amal Mattu

HPI

2 separate 50-year-old men present to the emergency department with chest pain. Pain in both patients is described as sharp, pleuritic, and positional. The following ECGs are obtained:

Before watching the video, look closely at this ECG and ask yourself:

  1. What is the most likely diagnosis in patient A?
  2. What is the most likely diagnosis in patient B?
  3. Can acute pericarditis be diagnosed in patients without ST segment elevation?