What EKG findings may indicate the presence of pericarditis?

Widespread ST elevation without reciprocal changes is characteristic of pericarditis because it reflects the inflammation of the pericardial sac surrounding the heart. In cases of pericarditis, the ST-segment elevation typically occurs in many leads simultaneously, particularly in the limb and precordial leads, and lacks the reciprocal ST-segment depression that would be seen in conditions such as myocardial infarction. This pattern arises due to the inflammation affecting the epicardium, resulting in a specific electrocardiographic manifestation. Thus, the presence of this distinct finding can help clinicians differentiate pericarditis from other potential cardiac issues.

Other conditions, such as myocardial infarction, often show reciprocal changes, which further helps in making the diagnosis. Similarly, while deep Q waves, T wave inversions, and prolonged QT intervals may be associated with various heart conditions, they do not specifically correlate with pericarditis. These findings often suggest other issues, such as prior myocardial infarction or underlying ischemia. Hence, the widespread ST elevation without reciprocal changes serves as a key indicator of pericarditis on an EKG, reinforcing its significance in the diagnostic process.