Post-Lobectomy Pericarditis[!xe "Pericarditis:post-thoracotomy" \i!]

Report:

Sinus rhythm.

SVEB (penultimate beat in the trace).

ST segment elevation consistent with pericarditis.[!xe "ST segment:elevation:pericarditis" \i!]

Possible LVH.

Comment:

The ST segment elevation is common after thoracotomy and usually has no clinical significance. It may be confined to anterior leads, as in this case. The ST segment elevation is concave upward and there are no convincing reciprocal changes in the inferior leads; nevertheless, infarction cannot be excluded using this trace alone.

The LVH criterion of RV5<RV6 may not be valid following removal or collapse of the left lung.

The SVEB is not particularly early and is unlikely to provoke AF or flutter.

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