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Home > West Medicine > Internal Medicine > Cardiology
百科

Post-myocardial infarction pericarditis

心内科

Common symptoms

钝痛、胸痛、心肌梗死、心包炎、心包积液、胸膜摩擦音、心绞痛

The pathology of disease

Post-myocardial infarction pericarditis includes early (within days) acute pericarditis and Dressler syndrome (weeks-months, autoimmune); pleuritic chest pain; pericardial rub; aspirin/colchicine.

Symptoms

Pleuritic chest pain; worse lying down; pericardial rub; fever; after MI; diffuse ST elevation; weeks later (Dressler)

Causes

Pericardial inflammation after MI; early: direct. Late (Dressler): autoimmune.

Treatment

Aspirin; colchicine; avoid high-dose NSAIDs/steroids (impair healing); monitor for tamponade

Dept

Cardiology.

Warm reminder: Health education reference only; seek care at regular hospital.