Pericarditis in malignancy electrocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.

Electrocardiography

• Characteristic ST elevations with PR depression may be noted in all leads in presence of pericarditis.
• In case of pericardial effusion or cardiac tamponade, micro-voltage with electical alternans may be observed which could be due to a swinging motion of the heart in a pool of pericardial fluid.
• Constrictive pericarditis may present with ECG changes consistent with atrial fibrillation.

Electrical alternans in cardiac tamponade