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Article (Scientific journals)
Frequency and clinical significance of pericardial friction rubs in the acute phase of myocardial infarction.
Dubois, Catherine; Smeets, J. P.; Demoulin, J. C. et al.
1985In European Heart Journal, 6 (9), p. 766-8
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Keywords :
Aged; Arrhythmias, Cardiac/complications/epidemiology; Female; Heart Auscultation; Heart Block/complications/epidemiology; Heart Failure/complications/epidemiology; Heart Sounds; Humans; Male; Middle Aged; Myocardial Infarction/complications/mortality; Pericarditis/epidemiology/etiology; Prognosis
Abstract :
[en] An early pericardial friction rub was noted in 23.4% of a population of 1264 consecutive patients admitted with acute myocardial infarction. The incidence of the rub did not vary with age, sex or past cardiac history. The pericardial rub, however, was more often a complication of Q- than non-Q-wave infarcts (25.5% vs 10.5%, P greater than 0.001) and of anterior than inferior infarcts (35.3% vs 20.8%, P greater than 0.001). In comparing the 297 patients with a pericardial rub to the 967 others, we noted that the former group had a higher CK peak (1706 +/- 1110 UI l-1 vs 1189 +/- 1038 UI l-1, P greater than 0.001) and a higher incidence of Killip class greater than 1 (47.5% vs 33.2%, P greater than 0.001), atrial flutter or fibrillation (22.2% vs 9.3%, P greater than 0.001), second or third degree atrioventricular blocks (16.8% vs 9.4%, P greater than 0.001) and complete bundle branch block (14.5% vs 7.1%, P greater than 0.001). In spite of this, the development of a pericardial rub did not increase the in-hospital mortality (10.8% in patients with pericardial rub; 11.3% in those without).
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Dubois, Catherine ;  Université de Liège - ULiège > Forêts, Nature et Paysage > Biodiversité et Paysage
Smeets, J. P.
Demoulin, J. C.
Pierard, Luc ;  Université de Liège - ULiège > Département des sciences cliniques > Cardiologie - Pathologie spéciale et réhabilitation
Henrard, L.
Preston, L.
Kulbertus, Henri ;  Université de Liège - ULiège > Relations académiques et scientifiques (Médecine)
Language :
English
Title :
Frequency and clinical significance of pericardial friction rubs in the acute phase of myocardial infarction.
Publication date :
1985
Journal title :
European Heart Journal
ISSN :
0195-668X
eISSN :
1522-9645
Publisher :
Oxford University Press, United Kingdom
Volume :
6
Issue :
9
Pages :
766-8
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 11 June 2014

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