Traumatic Pericarditis
Report:
Sinus rhythm 92/min
Diffuse ST segment elevation c/c pericarditis
Comment:
The ST elevation is diffuse, reflecting a hæmopericardium rather than diffuse injury. There are also narrow Q waves in multiple leads, in this case a normal variant.
A trace taken a week later (Fig 66a below) shows voltages increased to LVH range, with borderline RAA. This is most likely what her ECG looked like before the big bang. The hæmopericardium (and systemic fluid retention from multitrauma) had reduced the voltages in the original trace.
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