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

Journal Article (Journal Article)

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).

Full Text

Duke Authors

Cited Authors

  • Wanner, WR; Schaal, SF; Bashore, TM; Norton, VJ; Lewis, RP; Fulkerson, PK

Published Date

  • February 1, 1983

Published In

Volume / Issue

  • 83 / 2

Start / End Page

  • 180 - 184

PubMed ID

  • 6822097

International Standard Serial Number (ISSN)

  • 0012-3692

Digital Object Identifier (DOI)

  • 10.1378/chest.83.2.180


  • eng

Conference Location

  • United States