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Pericardial effusion may produce QRS voltages less than 5 mm in all limb leads

Sub‐epicardial myocardial damage causes time dependent change:

  • Initial ST segment elevation in the left ventricular leads
  • ST segment returns to normal within 2‐3 days
  • T wave inversion (with isoelectric ST segment) 2‐4 weeks after the onset of pericarditis

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