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Repolarization variant vs acute pericarditis. A prospective electrocardiographic and echocardiographic evaluation.

Publication ,  Journal Article
Wanner, WR; Schaal, SF; Bashore, TM; Norton, VJ; Lewis, RP; Fulkerson, PK
Published in: Chest
February 1983

Patients with ECG nonischemic ST segment elevation were prospectively studied to determine the accuracy of the initial ECG diagnoses. Evaluations were made of 131 consecutive patients by serial clinical, ECG, and echocardiography to establish a diagnosis. Eighty-six (66 percent) had an initial ECG interpretation of repolarization variant. Only three of the 86 (3 percent) subsequently met clinical criteria for acute pericarditis. Analysis of the mean frontal ST segment vector and PR segment depression revealed no significant differences between the 119 patients with final clinical diagnosis of repolarization variant and the 12 with clinical acute pericarditis. The diagnostic reliability of the initial ECG alone as a means of confirming acute pericarditis is low (9/45, 20 percent) but in the detection of repolarization variant is extremely high (83/86, 97 percent).

Duke Scholars

Published In

Chest

DOI

ISSN

0012-3692

Publication Date

February 1983

Volume

83

Issue

2

Start / End Page

180 / 184

Location

United States

Related Subject Headings

  • Respiratory System
  • Prospective Studies
  • Pericarditis
  • Humans
  • Electrocardiography
  • Echocardiography
  • Diagnosis, Differential
  • Acute Disease
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
 

Citation

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MLA
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Wanner, W. R., Schaal, S. F., Bashore, T. M., Norton, V. J., Lewis, R. P., & Fulkerson, P. K. (1983). Repolarization variant vs acute pericarditis. A prospective electrocardiographic and echocardiographic evaluation. Chest, 83(2), 180–184. https://doi.org/10.1378/chest.83.2.180
Wanner, W. R., S. F. Schaal, T. M. Bashore, V. J. Norton, R. P. Lewis, and P. K. Fulkerson. “Repolarization variant vs acute pericarditis. A prospective electrocardiographic and echocardiographic evaluation.Chest 83, no. 2 (February 1983): 180–84. https://doi.org/10.1378/chest.83.2.180.
Wanner WR, Schaal SF, Bashore TM, Norton VJ, Lewis RP, Fulkerson PK. Repolarization variant vs acute pericarditis. A prospective electrocardiographic and echocardiographic evaluation. Chest. 1983 Feb;83(2):180–4.
Wanner, W. R., et al. “Repolarization variant vs acute pericarditis. A prospective electrocardiographic and echocardiographic evaluation.Chest, vol. 83, no. 2, Feb. 1983, pp. 180–84. Pubmed, doi:10.1378/chest.83.2.180.
Wanner WR, Schaal SF, Bashore TM, Norton VJ, Lewis RP, Fulkerson PK. Repolarization variant vs acute pericarditis. A prospective electrocardiographic and echocardiographic evaluation. Chest. 1983 Feb;83(2):180–184.
Journal cover image

Published In

Chest

DOI

ISSN

0012-3692

Publication Date

February 1983

Volume

83

Issue

2

Start / End Page

180 / 184

Location

United States

Related Subject Headings

  • Respiratory System
  • Prospective Studies
  • Pericarditis
  • Humans
  • Electrocardiography
  • Echocardiography
  • Diagnosis, Differential
  • Acute Disease
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology