[Pericarditis after acute myocardial infarction (author's transl)].
909 patients were treated between 1970 and 1975 in an intensive-care unit for acute myocardial infarction. 91 (10%) had associated pericarditis. In these patients the clinical course was characterised by a significantly high incidence of haemodynamically severe complications such as left and right heart failure and cardiogenic shock, as well as rhythm and conduction disturbances. High grade atrioventricular block, intraventricular conduction disturbances, ectopic and tachycardic supraventricular arrhythmias and ventricular ectopic rhythms occurred much more frequently in patients with infarct-pericarditis than in those without it. The occurrence of pericarditis indicates an extensive infarction and thus a worse prognosis. The hospital mortality of pericarditis was significantly higher (61%) than in the remaining 818 patients without it (24.4%). Anticoagulation did not increase the risk of haemopericardium.
D000208:Acute Disease; D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001145:Arrhythmias, Cardiac / Q000150:complications; D003325:Coronary Care Units; D005260:Female; D005860:Germany, West; D006333:Heart Failure / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000188:drug therapy; D010490:Pericardial Effusion / Q000150:complications; D010493:Pericarditis / Q000209:etiology*; D012770:Shock, Cardiogenic / Q000150:complications
D000925:Anticoagulants
Perikarditis nach akutem Myokardinfarkt. Hämoperikardrisiko und Antikoagulantientherapie