{"id":1464,"date":"2023-03-09T12:33:43","date_gmt":"2023-03-09T19:33:43","guid":{"rendered":"https:\/\/blog.medcram.com\/?p=1464"},"modified":"2023-03-15T13:18:21","modified_gmt":"2023-03-15T20:18:21","slug":"ecg-ekg-versus-smartwatch-for-myocarditis-pericarditis-and-myocardial-infarction","status":"publish","type":"post","link":"https:\/\/blog.medcram.com\/ecg-cardiology\/ecg-ekg-versus-smartwatch-for-myocarditis-pericarditis-and-myocardial-infarction\/","title":{"rendered":"ECG\/EKG versus smartwatch for myocarditis\/pericarditis and myocardial infarction"},"content":{"rendered":"<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/78R3o8rj10Y\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><span style=\"font-weight: 400;\">In his latest video, Dr. Seheult of MedCram discusses myocarditis\/pericarditis versus myocardial infarction (also known as a heart attack) and how to differentiate between them and whether a smart watch can differentiate between them. <\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Smart Watch ECG\/EKG features<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Some of the newest smart watches have an ECG\/EKG feature that allows you to look at the heart rhythm. The ECG\/EKG is basically a photograph of how electricity is moving throughout the heart at different angles. A traditional ECG\/EKG has 12 leads. In a smart watch, only one lead is used and is limited to Lead 1. As the smart watch will only provide one lead viewpoint, it will not be possible to distinguish between myocarditis\/pericarditis and myocardial infarction with a smart watch alone.<\/span><\/p>\n<h2>Myocarditis\/Pericarditis vs Myocardial Infarction<\/h2>\n<p><span style=\"font-weight: 400;\"> Myocarditis\/pericarditis looks different on an EKG compared to a myocardial infarction. The space between the visceral pericardium (lining that touches the heart directly) and the parietal pericardium (lining that does not directly touch the heart) is called the pericardial cavity. This can fill up with fluids, one of which is blood. Pericardial inflammation is generally seen all throughout the heart so on an ECG\/EKG, all leads would reflect the inflammation as evidenced by ST segment elevation. This is indicative of pericarditis when there is diffuse ST elevation throughout all of the leads on an ECG\/EKG. This needs to be distinguished from a myocardial infarction where the ST segment elevation would be seen in only a portion of the leads as usually only a portion of the heart, ie one or two blood vessels, is typically involved in a &#8220;heart attack.&#8221; This would not lead to global changes on the ECG\/EKG\u00a0 unlike in pericarditis.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Risks of misdiagnosing pericarditis and myocardial infarction<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Getting the diagnosis is extremely critical as consequences to a misdiagnosis can be serious.\u00a0 One of the potential treatments for myocardial infarction involves the use of a TPA like drug otherwise known as a \u201cclot buster.\u201d This is used to prevent new clots from forming as well as break up the clots already there.\u00a0 This is important because if this was used in someone with pericarditis, giving a \u201cclot buster\u201d drug could lead to more bleeding especially in the pericardial cavity.\u00a0 This could lead to something known as cardiac tamponade. This is a situation where there is so much fluid around the heart that it ends up squeezing the heart and possibly preventing the heart from working and leading to the death of the patient. On echocardiogram (ultrasound of the heart), in the case of pericardial effusion (fluid around the heart), this is easily seen.<\/span><\/p>\n<h2>What happens to the heart in a myocardial infarction<\/h2>\n<p><span style=\"font-weight: 400;\"> In myocardial infarctions, a blood vessel that supplies the heart is either partially or completely blocked and prevented from providing enough blood supply to the part of the heart it services. Depending on the location of the blood vessel, the resulting ischemia (cell injury and death) can be reflected on different leads on the ECG\/EKG and can be seen as ST-elevations. After a myocardial infarction, the ECG\/EKG will reflect prior injury with what are called Q waves. When these are seen, it implies that the heart has had injury to it sometime in the past. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is important to distinguish between different leads to determine if someone is having pericarditis or a myocardial infarction. MedCram has an <\/span><a href=\"https:\/\/www.medcram.com\/courses\/ekg-ecg-interpretation-explained-clearly?gclid=Cj0KCQjw2cWgBhDYARIsALggUhqVn9VwIt_tjb91pNQbJplzcWAef4E5CCRk9WLpsdtOvhBvXofLpEMaAtS7EALw_wcB\"><span style=\"font-weight: 400;\">ECG\/EKG interpretation course <\/span><\/a><span style=\"font-weight: 400;\">that delves into this and provides 10 CME credits. MedCram also has <\/span><a href=\"https:\/\/www.medcram.com\/collections\/ultrasound\"><span style=\"font-weight: 400;\">ultrasound online courses<\/span><\/a><span style=\"font-weight: 400;\"> available. MedCram recently partnered with <\/span><a href=\"https:\/\/www.allianceinmedicine.org\/\"><span style=\"font-weight: 400;\">AIM<\/span><\/a><span style=\"font-weight: 400;\"> to provide its ultrasound courses in the training of Cambodian physicians.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">LINKS \/ REFERENCES:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">ECG Watch: How it Works (MedCram) |<\/span><a href=\"https:\/\/www.youtube.com\/watch?v=0HxOWCw4hEU&amp;t=0s\"> <span style=\"font-weight: 400;\">https:\/\/youtu.be\/0HxOWCw4hEU<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">MedCram helps out Cambodia with Alliance for International Medicine update (MedCram) |<\/span><a href=\"https:\/\/www.youtube.com\/redirect?event=video_description&amp;redir_token=QUFFLUhqbkRPY0hvU01GcXJpUDd5TG1Pdnphejk5RHZ1d3xBQ3Jtc0tsaUpaaFhjTkMzTlZlbkVtMEI4cVJjOUVtV0FRdkhITnpBY1hsWHhIbllGTTNDUGlwaWM3ajl6OGdLbmJ2dVdhaUswOXM0T2pDYS1jd092Tzh6cnJMTHltRV9iSUppYUZ5UERSOHFyaG8yOFNrZ0lwVQ&amp;q=https%3A%2F%2Fblog.medcram.com%2Funcategorized%2Fmedcram-helps-out-cambodia-with-alliance-for-international-medicine-update%2F&amp;v=78R3o8rj10Y\"> <span style=\"font-weight: 400;\">https:\/\/blog.medcram.com\/uncategorize&#8230;<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Working to alleviate suffering (AIM) |<\/span><a href=\"https:\/\/www.youtube.com\/redirect?event=video_description&amp;redir_token=QUFFLUhqbktrRHIxLUtrZ3VMejRIckN0TVpwTzVnYjJmZ3xBQ3Jtc0tsUy1sWlRKajdwZUowZ1RXVExWYWoxaDNHRm4tTzNXTXBObFVGYTRnOTJiYVFtdGZUWjdPMGMweW1hRUczS2laT2Rjd0gyRTI2Qmh2TERhcURLVl8tRC1wME1STGVnRl9aY2RvNUwzcW9GYWJzbjFvNA&amp;q=https%3A%2F%2Fwww.allianceinmedicine.org%2F&amp;v=78R3o8rj10Y\"> <span style=\"font-weight: 400;\">https:\/\/www.allianceinmedicine.org<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Pericardial effusion with tamponade (Wikimedia) |<\/span><a href=\"https:\/\/www.youtube.com\/redirect?event=video_description&amp;redir_token=QUFFLUhqbEZhbDFnelBEZjUzUm1yQ1dyaTJ4UXZralFXQXxBQ3Jtc0ttWTNabmFvNHFodFNDdktJa3JYZ3oxOUVOcGEta3hBMHhaUThNVEJBTTRNSkRhTjF4UGNQZDZWT3o4di1yclN2bmRHV3NZTGtGWk1UcUR4SGNIVEhpZTY4cTB4UEVVZVRTQ2ViVklCRFJTdXVOQjdHUQ&amp;q=https%3A%2F%2Fcommons.wikimedia.org%2Fwiki%2FFile%3APericardial_effusion_with_tamponade.gif&amp;v=78R3o8rj10Y\"> <span style=\"font-weight: 400;\">https:\/\/commons.wikimedia.org\/wiki\/Fi&#8230;<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Evol Of MI (Wikimedia) |<\/span><a href=\"https:\/\/www.youtube.com\/redirect?event=video_description&amp;redir_token=QUFFLUhqa2dzcGh1UkJBRy1maTZWYk5zWlNOLUtYeUZuZ3xBQ3Jtc0tsTkVGSW1PWWp2aFBsU0l1RDdZcWwzYVJ0SllPYkVXNjNEZlJoQzdQQWNkMjFPX2ZMYnRlb0Z3R0t6aVlHQ2JCUE5VTWFxUUowa3YzLTAtYXQ4UWM3R0paUnktc0ltR1BGdVhiaWtBcEIxc1NTMVpHVQ&amp;q=https%3A%2F%2Fcommons.wikimedia.org%2Fwiki%2FFile%3AEvol_Of_MI.svg&amp;v=78R3o8rj10Y\"> <span style=\"font-weight: 400;\">https:\/\/commons.wikimedia.org\/wiki\/Fi&#8230;<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">PericarditisMyocarditis (Wikimedia) |<\/span><a href=\"https:\/\/www.youtube.com\/redirect?event=video_description&amp;redir_token=QUFFLUhqa3VPMm1Rd0o4ZjMwVzJFQVhhY1d6bE8tZkRtd3xBQ3Jtc0tsRF9wZVhrVDJYUEZrdmJTZzI2SVdTTVBKWmZoUUhPQjcxeFdzX3ZOUEdEQUdUR1AtcHRpcUN2MDBjeVhsV0thaFBCT2E5S3c5dWRnaG0zeE9LVHQ1SkFGeWg0UWxmNVpkbjcyZ3VFdG9ETU1kcmxSYw&amp;q=https%3A%2F%2Fcommons.wikimedia.org%2Fwiki%2FFile%3APericarditisMyocarditis.jpg&amp;v=78R3o8rj10Y\"> <span style=\"font-weight: 400;\">https:\/\/commons.wikimedia.org\/wiki\/Fi&#8230;<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Inferior and RtV MI 12 lead (Wikimedia) |<\/span><a href=\"https:\/\/www.youtube.com\/redirect?event=video_description&amp;redir_token=QUFFLUhqbUdsOGhLcGFqSW1Xcm0wOVllWVNBYV9WWW85QXxBQ3Jtc0ttcERLYXUybF95b01MRXRrU3N3TjJuYUZQajB5d19jWFk4TlZUejVUU0JoZGkzSWI1c0VTeHB3eThHZWJwNGM0Z1pJc1JQX1M0S1paTDVRV3NyRnFIbXdoWXpmUW96bGs5T0tHYVVScmgySFpxRGVzOA&amp;q=https%3A%2F%2Fcommons.wikimedia.org%2Fwiki%2FFile%3AInferior_and_RtV_MI_12_lead.jpg&amp;v=78R3o8rj10Y\"> <span style=\"font-weight: 400;\">https:\/\/commons.wikimedia.org\/wiki\/Fi&#8230;<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">ECG \/ EKG Interpretation Explained Clearly (MedCram) |<\/span><a href=\"https:\/\/www.youtube.com\/redirect?event=video_description&amp;redir_token=QUFFLUhqbTlCUWxPY1VjaXNidEtoc1R5WFZKTTg4aHlvd3xBQ3Jtc0tuWjl0YjZTZC1KRW5pSUhRSEJGczhWaUFleUdkZTZrWHFzQXVYQS1IRk82QWZSdVBSRkRzcElmSm9oRzZBUTZMTTJ5YXdSbjdnS1M1eHR6aGdXZ21MU002MmFZNGZEY2pJRjRPMjVzMmItczdhbUxwOA&amp;q=https%3A%2F%2Fwww.medcram.com%2Fcourses%2Fekg-ecg-interpretation-explained-clearly&amp;v=78R3o8rj10Y\"> <span style=\"font-weight: 400;\">https:\/\/www.medcram.com\/courses\/ekg-e&#8230;<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Ultrasound Collection (MedCram) |<\/span><a href=\"https:\/\/www.youtube.com\/redirect?event=video_description&amp;redir_token=QUFFLUhqbXQzQlJkcFJoWHBvRExfNm5KR2RyUWVERGhpUXxBQ3Jtc0tsdEVqS1dCdHhWT3dJbTU2QlhyVkxLMmdFN091TkVGMXBiOUFlMVBGdWp3WWpUZXBVZkhkbno5cjc0eThyZXNkc0VraUY5RmtsZkk3ck1QSUZXSW5ibnFnYlZiV3hnUEJOYmFndHZ1RmVtel94ZGY4dw&amp;q=https%3A%2F%2Fwww.medcram.com%2Fcollections%2Fultrasound&amp;v=78R3o8rj10Y\"> <span style=\"font-weight: 400;\">https:\/\/www.medcram.com\/collections\/u&#8230;<\/span><\/a><\/p>\n<p>&nbsp;<\/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>In his latest video, Dr. Seheult of MedCram discusses myocarditis\/pericarditis versus myocardial infarction (also known as a heart attack) and how to differentiate between them and whether a smart watch can differentiate between them. Smart Watch ECG\/EKG features Some of the newest smart watches have an ECG\/EKG feature that allows you to look at the&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":1465,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>ECG\/EKG versus smartwatch for myocarditis\/pericarditis and myocardial infarction - Medcram Blog<\/title>\n<meta name=\"description\" content=\"In his latest video, Dr. Seheult of MedCram discusses myocarditis\/pericarditis and myocardial infarction (also known as a heart attack) and how to differentiate between them and whether a smart watch can differentiate between them.\" \/>\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\/ecg-ekg-versus-smartwatch-for-myocarditis-pericarditis-and-myocardial-infarction\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ECG\/EKG versus smartwatch for myocarditis\/pericarditis and myocardial infarction - 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