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Post-myocardial infarction pericarditis

  • Julia H. Indik
  • Joseph S. Alpert
Article

Opinion statement

Post-myocardial infarction pericarditis occurs in approximately 5% to 6% of patients who receive thrombolytic agents. It should be suspected in any patient with pleuropericardial pain. A pericardial friction rub may or may not be present. Differentiation of pericarditis from recurrent angina may be difficult, but a careful history and evaluation of serial electrocardiograms can help distinguish the two entities. Dressler’s syndrome, pericarditis that occurs at least 1 week following myocardial infarction, is now exceedingly rare. Most cases of pericarditis have a benign course; however, because pericarditis is associ-ated with larger infarcts, overall long-term mortality rate is increased. Rare complications include hemopericardium, cardiac tamponade, and constrictive pericarditis. Therapy is directed toward relief of pain, which usually responds well to nonsteroidal anti-inflammatory agents (eg, aspirin or ibuprofen).

Keywords

Indomethacin Ibuprofen Pericardial Effusion Pericarditis Main Side Effect 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Current Science Inc 2000

Authors and Affiliations

  • Julia H. Indik
    • 1
  • Joseph S. Alpert
    • 1
  1. 1.Department of Internal Medicine, Section of CardiologyUniversity of Arizona Health Sciences CenterTucsonUSA

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