Spodick’s Sign and Pericarditis

By Dr Peter Kas | 15/03/2017 |

Spodick’s Sign appears in Stage I of Pericarditis and is a downsloping of the TP line ie., the baseline. It is said to be present in some 80% of cases of acute pericarditis and is best visualised in lead II and the lateral precordial leads(1).   The ECG findings of pericarditis are important to know as…

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Early Repolarisation or AMI

By Dr Peter Kas | 13/02/2016 |

A 28 year old male presents with atypical chest pain, shortness of breath and a feeling of general muscular aches and pains. He has an ECG. Does it show early repolarisation or an infarction, or something else? In this ECG, there is ST elevation in the inferior and anterior leads. What do you think? What…

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Pericarditis, Benign Early Depolarisation or STEMI

By Dr Peter Kas | 04/07/2015 |

Differentiating between Pericarditis, Benign Early Depolarisation and ST Elevation Myocardial Infarction can sometimes be difficult. CASE A 35 yo male presents with palpitations and pleuritic chest pain. He’s recently had a viral illness but has no other medical history. At 1am in the morning, the patient was woken by palpitations. He now complains of left…

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