Thadani U, Chopra M P, Aber C P, Portal R W
Br Med J. 1971 Apr 17;2(5754):135-7. doi: 10.1136/bmj.2.5754.135.
Fifty-two (6.8%) of 779 patients admitted to a coronary monitoring unit with acute myocardial infarction developed a pericardial friction rub. A diagnosis of postmyocardial infarction syndrome was made in three of these.The course of the 52 patients with pericarditis was compared with that of a consecutive series of 100 patients without pericarditis. As a group those with pericarditis manifested a longer period of pyrexia, a greater rise in serum enzymes, and a higher incidence of major arrhythmias and of radiological pulmonary oedema. The Peel prognostic index, however, did not differ significantly in the two groups. The hospital mortality of the pericarditis group was not significantly different from that of the 727 non-pericarditis patients. No specially adverse features were found in a follow-up of the pericarditis group.Though the presence of a pericardial rub in the first few days after a myocardial infarction may be a sign of extensive myocardial damage and is associated with a relatively high incidence of ventricular fibrillation, it does not appear to influence the hospital mortality of patients treated in a monitoring unit.
779例因急性心肌梗死入住冠状动脉监护病房的患者中，有52例（6.8%）出现了心包摩擦音。其中3例被诊断为心肌梗死后综合征。将这52例心包炎患者的病程与连续100例无心包炎患者的病程进行了比较。心包炎患者总体表现为发热时间更长、血清酶升高幅度更大、严重心律失常和放射性肺水肿的发生率更高。然而，两组的皮尔预后指数没有显著差异。心包炎组的医院死亡率与727例无心包炎患者的死亡率没有显著差异。在心包炎组的随访中未发现特别不良的特征。虽然心肌梗死后最初几天出现心包摩擦音可能是广泛心肌损伤的迹象，且与室颤的发生率相对较高有关，但它似乎并不影响在监护病房接受治疗的患者的医院死亡率。
