{"id":1122,"date":"2022-03-22T11:00:43","date_gmt":"2022-03-22T18:00:43","guid":{"rendered":"https:\/\/blog.medcram.com\/?p=1122"},"modified":"2022-03-22T11:00:43","modified_gmt":"2022-03-22T18:00:43","slug":"distinguish-myocardial-infarction-from-pericarditis-on-ecg-covid-19","status":"publish","type":"post","link":"https:\/\/blog.medcram.com\/ecg-cardiology\/distinguish-myocardial-infarction-from-pericarditis-on-ecg-covid-19\/","title":{"rendered":"How to Distinguish Myocardial Infarction from Pericarditis on ECG"},"content":{"rendered":"<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/qeOrWiUdjmw\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2><span style=\"font-weight: 400;\">COVID 19 and Heart Conditions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In this video, Roger Seheult, MD of MedCram discusses the Lancet <\/span><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(21)02284-4\/fulltext\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> regarding Covid 19 and myocardial infarction (heart attack). The study finds that COVID 19 is an associated risk factor for myocardial infarction. He notes COVID 19 vaccines have also had an increased risk in associated pericarditis.\u00a0\u00a0<\/span><\/p>\n<h2>Myocardial Infarction vs. Pericarditis<\/h2>\n<p><span style=\"font-weight: 400;\">However, there are differences in the ECG between a myocardial infarction vs. pericarditis. He shows classic ECG examples of each. The differences between the two are critical to <\/span><span style=\"font-weight: 400;\">distinguish quickly as a myocardial infarction needs immediate treatment. This can include coronary angiography or tPA (tissue plasminogen activator).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In pericarditis, the pericardium (covering around the heart) is inflamed. This can cause fluid to collect around the heart. Treatment for a myocardial infarction such as tPA if given mistakenly to someone who has pericarditis can cause life-threatening symptoms. tPA should not be given in pericarditis but only in myocardial infarction if clinically indicated.\u00a0 A bedside point <\/span><span style=\"font-weight: 400;\">of care ultrasound can help determine if there are any segmental wall motion abnormalities or fluid collection around the heart.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">ECG and Ultrasound<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Distinguishing the difference between a patient with myocardial infarction or pericarditis on ECG and ultrasound can have a significant clinical impact.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>LINKS \/ REFERENCES:<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">MI (Wikimedia) |<\/span><a href=\"https:\/\/www.youtube.com\/redirect?event=video_description&amp;redir_token=QUFFLUhqbnZfYUxVel85dUl1R3h5TzF6WmpVUWp0Z09CUXxBQ3Jtc0tsZUhoNnZPaDFkZjFycGZnX0VGVUVhcXdOcjhHc1R6NW9mbEdBaXNBeldXUlpsLW91ZFRfemNielNiZWVVZFhSeUtQR0RmX3hUOXlRNGZIQURTTll0bW05TXFyWlF1M0VQUUdwSFJ3Q0FPQmZxanFlUQ&amp;q=https%3A%2F%2Fupload.wikimedia.org%2Fwikipedia%2Fcommons%2Fa%2Fa0%2FECG_001.jpg\"> <span style=\"font-weight: 400;\">https:\/\/upload.wikimedia.org\/wikipedi&#8230;<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Pericarditis (Wikimedia) |<\/span><a href=\"https:\/\/www.youtube.com\/redirect?event=video_description&amp;redir_token=QUFFLUhqa2c0Skh3bjVtWVVmVnduTmF5S3lsN0s5azFLQXxBQ3Jtc0tsU1gwRG5zQS1rWWREaWFDYm5iVDhNNnItUmZydWJLeDN4V0txT0hZdkRid3hRODlHbVNfRmRsYkxJd1dWc3dnc25XeWw5UHcxZHQxSDNmNjVpVUpMSFBLU09TbzM1TkhiZFdGWlMwTE5Dd3JHV3FBcw&amp;q=https%3A%2F%2Fupload.wikimedia.org%2Fwikipedia%2Fcommons%2F7%2F7e%2FPericarditis10.JPG\"> <span style=\"font-weight: 400;\">https:\/\/upload.wikimedia.org\/wikipedi&#8230;<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">COVID-19 and myocardial infarction (Lancet) |<\/span> <a href=\"https:\/\/www.thelancet.com\/journals\/la%E2%80%A6\"><span style=\"font-weight: 400;\">https:\/\/www.thelancet.com\/journals\/la\u2026<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Medcram <\/span><a href=\"https:\/\/www.medcram.com\/courses\/ekg-ecg-interpretation-explained-clearly\"><span style=\"font-weight: 400;\">\u00a0ECG Interpretation explained clearly<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Medcram <\/span><a href=\"https:\/\/www.medcram.com\/courses\/clinical-bedside-ultrasound\"><span style=\"font-weight: 400;\">Ultrasound Principles &amp; Instrumentation Explained Clearly<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Medcram <\/span><a href=\"https:\/\/www.medcram.com\/courses\/fast-exam\"><span style=\"font-weight: 400;\">E Fast (Focused Assessment with Sonography in Trauma) exam explained clearly<\/span><\/a><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Stay Tuned for More COVID-19 Updates\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Our COVID-19 videos are always available for <\/span><i><span style=\"font-weight: 400;\">free <\/span><\/i><span style=\"font-weight: 400;\">(and ad-free) at<\/span><a href=\"https:\/\/www.medcram.com\/collections?category=covid-19-SARS-CoV-2\"> <span style=\"font-weight: 400;\">MedCram.com<\/span><\/a><span style=\"font-weight: 400;\">. In addition, check out our full library of courses and lectures on subjects ranging from<\/span> <a href=\"https:\/\/www.medcram.com\/courses\/hypertension-explained-clearly-2\"><span style=\"font-weight: 400;\">Hypertension Explained Clearly<\/span><\/a><span style=\"font-weight: 400;\"> to<\/span><a href=\"https:\/\/www.medcram.com\/courses\/sleep-apnea-explained-clearly\"> <span style=\"font-weight: 400;\">Sleep Apnea Explained Clearly<\/span><\/a><span style=\"font-weight: 400;\"> Course and many more!<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Meanwhile, you can find all of our COVID-19 videos compiled <\/span><a href=\"https:\/\/www.medcram.com\/collections?category=covid-19-SARS-CoV-2\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>COVID 19 and Heart Conditions In this video, Roger Seheult, MD of MedCram discusses the Lancet study regarding Covid 19 and myocardial infarction (heart attack). The study finds that COVID 19 is an associated risk factor for myocardial infarction. He notes COVID 19 vaccines have also had an increased risk in associated pericarditis.\u00a0\u00a0 Myocardial Infarction&hellip;<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":8,"featured_media":1123,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25,12],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to Distinguish Myocardial Infarction from Pericarditis on ECG - Medcram Blog<\/title>\n<meta name=\"description\" content=\"In this video, Roger Seheult, MD of MedCram discusses the differences between myocardial infarction (heart attack) and pericarditis on ECG and ultrasound.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blog.medcram.com\/ecg-cardiology\/distinguish-myocardial-infarction-from-pericarditis-on-ecg-covid-19\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to Distinguish Myocardial Infarction from Pericarditis on ECG - 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