Pericardial complications of myocardial infarction
- Martin M LeWinter, MD
Martin M LeWinter, MD
- Section Editor — Myopericardial Disease
- Professor of Medicine and Molecular Physiology and Biophysics
- University of Vermont
- Section Editors
- Bernard J Gersh, MB, ChB, DPhil, FRCP, MACC
Bernard J Gersh, MB, ChB, DPhil, FRCP, MACC
- Editor-in-Chief — Cardiovascular Medicine
- Section Editor — Coronary Heart Disease; Myopericardial Disease
- Professor of Medicine
- Mayo Medical School
- Jae K Oh, MD
Jae K Oh, MD
- Section Editor — Myopericardial Disease
- Professor of Medicine
- Mayo Clinic College of Medicine
Following a myocardial infarction (MI), patients are at risk for a variety of cardiac complications. Many complications are mechanical (eg, papillary muscle rupture, left ventricular wall rupture, or ventricular septal rupture) and are related to the extent of myocardial injury, while other post-MI complications are immunologic, inflammatory, or iatrogenic.
Three major types of pericardial complications can occur in patients following a myocardial infarction:
●Early infarct-associated pericarditis (often termed peri-infarction pericarditis)
●Pericardial effusion (with or without tamponade)
●Postcardiac injury (Dressler's) syndrome
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- PERI-INFARCTION PERICARDITIS
- - Anti-inflammatory therapy
- - Colchicine
- - Antiplatelet and anticoagulation therapy
- PERICARDIAL EFFUSION
- Risk of tamponade
- Risk of anticoagulation
- Clinical course
- POSTCARDIAC INJURY SYNDROME
- Diagnosis and treatment
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS