Chronic Constrictive Pericarditis and ECG
Completely normal ECG is very rarely observed in patients with chronic constrictive pericarditis.
The following ECG findings may be observed in patients with chronic constrictive pericarditis
  Low voltage (25-30%)
  Negative T waves.
  Atrial fibrillation (20-30%).
  Abnormal Q waves (less frequently).
  Right ventricular hypertrophy or right axis deviation (less frequently).
References
  Ann Intern Med 1956;45:445.
  Clin Med 2006;6:592-597.
  Circulation 1999;100:1380-1386.
  Circulation 2003;108:1852-1857.
ECG 1a. The ECG above belongs to a 15 years-old girl who will undergo an operation for constrictive pericarditis.
Widespread T wave negativity is seen. The QRS axis is 99 degrees.
Pediatric cardiologist Dr. Mahmut Gokdemir has donated the above ECG to our website.
Click here for a more detailed ECG
ECG 1b. The ECG above belongs to the same girl and was recorded 1 WEEK after her operation for constrictive pericarditis.
(2 months after recording of the ECG 1a).
Widespread T wave negativity is still seen.
Pediatric cardiologist Dr. Mahmut Gokdemir has donated the above ECG to our website.
Click here for a more detailed ECG
ECG 1c. The ECG above belongs to the same girl and was recorded 4 MONTHS after her operation for constrictive pericarditis.
Precordial T wave negativity has disappeared.
Pediatric cardiologist Dr. Mahmut Gokdemir has donated the above ECG to our website.
Click here for a more detailed ECG
ECG 1d. The ECG above belongs to the same girl and was recorded 1 YEAR after her operation for constrictive pericarditis.
Pediatric cardiologist Dr. Mahmut Gokdemir has donated the above ECG to our website.
Click here for a more detailed ECG