Reference : Frequency and clinical significance of pericardial friction rubs in the acute phase o...
Scientific journals : Article
Human health sciences : Cardiovascular & respiratory systems
http://hdl.handle.net/2268/168984
Frequency and clinical significance of pericardial friction rubs in the acute phase of myocardial infarction.
English
Dubois, Catherine mailto [Université de Liège - ULiège > Forêts, Nature et Paysage > Biodiversité et Paysage >]
Smeets, J. P. [> >]
Demoulin, J. C. [> >]
Pierard, Luc mailto [Université de Liège - ULiège > Département des sciences cliniques > Cardiologie - Pathologie spéciale et réhabilitation >]
Henrard, L. [> >]
Preston, L. [> >]
Kulbertus, Henri mailto [Université de Liège - ULiège > > Relations académiques et scientifiques (Médecine) >]
1985
European Heart Journal
6
9
766-8
Yes (verified by ORBi)
International
0195-668X
ENGLAND
[en] 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
[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).
http://hdl.handle.net/2268/168984

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