PR Segment Elevation
PR Segment Elevation
PR Segment Elevation
“PASTOR” is used to remember the key features of acute pericarditis and aid in diagnosis and management. It stands for Pleuritic chest pain, Auscultatory pericardial friction rub, ST-segment elevation on ECG (and/or PR depression), Temperature elevation (fever), Other associated symptoms (like dyspnea, cough, etc.), and Recent viral illness or other underlying causes.
Here’s a breakdown of the mnemonic:
- Pleuritic chest pain: Pain that worsens with breathing and lying down, and is relieved by sitting up and leaning forward.
- Auscultatory pericardial friction rub: A characteristic scratching, squeaking, or crunching sound heard with a stethoscope, indicating inflammation of the pericardium.
- ST-segment elevation on ECG (and/or PR depression): The electrocardiogram may show widespread ST-segment elevation (and PR depression), which is a common finding in acute pericarditis.
- Temperature elevation (fever): Fever is a common systemic sign of inflammation.
- Other associated symptoms: Pericarditis can be accompanied by other symptoms like dyspnea, cough, fatigue, and myalgias.
- Recent viral illness or other underlying causes: Many cases of pericarditis are triggered by viral infections, but other causes include bacterial infections, autoimmune diseases, and trauma.
V5 -PR-segment-depression PR segment depression in V5 due to acute pericarditis concave ST elevation also present suggesting – acute pericarditis
