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Post-Myocardial Infarction Pericarditis.

Indik1, Alpert

  • 1Department of Internal Medicine, Section of Cardiology, University of Arizona Health Sciences Center, 1501 N. Campbell Avenue, Tucson, AZ 85724-5035, USA.

Current Treatment Options in Cardiovascular Medicine
|November 30, 2000
PubMed
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Post-myocardial infarction pericarditis affects 5-6% of patients receiving thrombolytic agents. While often benign, it can indicate larger infarcts and requires pain management with anti-inflammatory drugs.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Post-myocardial infarction pericarditis is a recognized complication.
  • It occurs in 5-6% of patients treated with thrombolytic agents.

Purpose of the Study:

  • To describe the clinical presentation, diagnosis, and management of post-myocardial infarction pericarditis.
  • To differentiate it from recurrent angina and discuss potential complications.

Main Methods:

  • Clinical observation and review of diagnostic criteria.
  • Evaluation of patient history, physical examination (pericardial friction rub), and serial electrocardiograms.
  • Assessment of therapeutic responses to nonsteroidal anti-inflammatory agents.

Main Results:

  • Pleuropericardial pain is a key symptom.

Related Experiment Videos

  • Differentiation from angina requires careful history and ECG monitoring.
  • Most cases have a benign course, but larger infarcts are associated with increased mortality.
  • Rare complications include cardiac tamponade and constrictive pericarditis.

    • Conclusions:

    • Post-myocardial infarction pericarditis should be suspected in patients with relevant symptoms.
    • Early diagnosis and pain management are crucial.
    • While generally benign, it can be associated with increased long-term mortality and rare severe complications.