Recognition
- • Diffuse concave ST elevation
- • PR depression (specific)
- • PR elevation in aVR
- • No reciprocal changes
Key findings
- • Stage 1: ST↑ + PR↓
- • Stage 2: normalisation
- • Stage 3: T inversion
- • Stage 4: resolution
Clinical importance
- • Differentiate from STEMI — no reciprocal change, concave morphology
Management pearls
- • NSAIDs + colchicine
- • Treat underlying cause
- • Echo for effusion / tamponade
Related in WardRound
