Dorfman Todd A, Aqel Raed
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham Veterans Affair Medical Center, Birmingham, AL 35233, USA.
Clin Cardiol. 2009 Mar;32(3):115-20. doi: 10.1002/clc.20444.
Regional pericarditis has been described in several settings, but occurs most frequently after transmural myocardial infarction. While the diagnosis remains elusive, it must be considered in all patients with recurrent chest pain following acute myocardial infarction (AMI). Pericarditis classically presents with positional chest pain, a pericardial friction rub, diffuse ST-segment elevation, and PR depression, but regional ECG changes associated with infarction-associated pericarditis sometimes exist. Given the magnitude and frequency of AMI, it is imperative to be aware of the myriad of pericardial manifestations of myocardial injury. An illustrative case and a comprehensive review of the literature will be provided.
局限性心包炎已在多种情况下被描述，但最常见于透壁性心肌梗死后。虽然诊断仍然难以捉摸，但在所有急性心肌梗死（AMI）后反复出现胸痛的患者中都必须考虑到这一情况。心包炎典型表现为体位性胸痛、心包摩擦音、广泛的ST段抬高和PR段压低，但与梗死相关性心包炎相关的局部心电图改变有时也会出现。鉴于AMI的严重程度和发生率，必须了解心肌损伤的各种心包表现。本文将提供一个典型病例及对文献的全面综述。
