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  • Title: [Pericarditis after acute myocardial infarction (author's transl)].
    Author: Beck OA, Schunder J, Hochrein H.
    Journal: Dtsch Med Wochenschr; 1977 Apr 15; 102(15):559-63. PubMed ID: 849710.
    Abstract:
    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.
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