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14 Possible Causes for Chest Pain Worse when Lying Down, ST Elevation in All Leads

  • Pericarditis

    This can lead to ST elevation in all leads.[en.ecgpedia.org] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] The pain can last for hours or days. It doesn't get better when you rest as it does with chest pain from angina. Lying down and deep breathing can make the pain worse.[upmc.com]

  • Acute Pericarditis

    This can lead to ST elevation in all leads.[en.ecgpedia.org] It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] EKG Features The EKG hallmark of pericarditis is diffuse ST-segment elevation across all leads as well as PR-segment depression.[pathwaymedicine.org]

  • Radiation Pericarditis

    […] and T wave changes or ST segment elevation in all leads may be noted.[wikidoc.org] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] EKG Features The EKG hallmark of pericarditis is diffuse ST-segment elevation across all leads as well as PR-segment depression.[pathwaymedicine.org]

  • Constrictive Pericarditis

    Segment T Wave PR Segment 1 Hours Diffuse elevation Upright Leads aV R, V 1 : elevation All others: depression 2 Days Resolution Flattening Resolution 3 Days-weeks — Inversion[clevelandclinicmeded.com] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] It can be made worse when lying down, coughing , or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate .[webmd.com]

  • Acute Pleuropericarditis

    EKG Features The EKG hallmark of pericarditis is diffuse ST-segment elevation across all leads as well as PR-segment depression.[pathwaymedicine.org] It can be made worse when lying down, coughing , or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate .[webmd.com] Acute pericarditis Acute myocardial infarction ST-segment elevation occurs in all leads except in a Vr and V1 ST-segment elevation occurs in leads corresponding to specific[bcmj.org]

  • Toxic Myocarditis

    In a patient with pericarditis the ST segment is elevated in all leads. The ST-segment elevation shows upward concavity (so-called "smiling face").[atsu.edu] Electrocardiogram All patients with suspected myocarditis should receive a 12-lead electrocardiogram. 1 Electrocardiographic findings in myocarditis patients include T-wave[revespcardiol.org] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu]

  • Dressler Syndrome

    During the early stages upwardly concave ST-segment elevation can be seen in all the leads.[explainmedicine.com] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] Segment T Wave PR Segment 1 Hours Diffuse elevation Upright Leads aV R, V 1 : elevation All others: depression 2 Days Resolution Flattening Resolution 3 Days-weeks — Inversion[clevelandclinicmeded.com]

  • Suppurative Pericarditis

    The preferred initial diagnostic testing is the ECG, which may demonstrate a 12-lead electrocardiogram with diffuse, non-specific, concave ("saddle-shaped"), ST-segment elevations[en.wikipedia.org] In a patient with pericarditis the ST segment is elevated in all leads. The ST-segment elevation shows upward concavity (so-called "smiling face").[atsu.edu] The first stage is characterized by ST-segment elevation with concave upward ST segments. It can be seen within hours of chest pain and lasting several days.[emjournal.net]

  • Familial Pericarditis

    The preferred initial diagnostic testing is the ECG, which may demonstrate a 12-lead electrocardiogram with diffuse, non-specific, concave ("saddle-shaped"), ST-segment elevations[en.wikipedia.org] pain . [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] […] in all leads except aVR and V1 [10] and PR-segment depression possible in any lead except aVR ; [10] sinus tachycardia, and low-voltage QRS complexes can also be seen if[en.wikipedia.org]

  • Myocardial Abscess

    In a patient with pericarditis the ST segment is elevated in all leads. The ST-segment elevation shows upward concavity (so-called "smiling face").[atsu.edu] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] ST-segment elevation in all leads, with no ST-segment depression ST-segment elevation in anatomically contiguous leads, with reciprocal ST-segment depression ST-segment elevation[atsu.edu]

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