Usefulness of a pericardial friction rub after thrombolytic therapy during acute myocardial infarction in predicting amount of myocardial damage
dc.contributor.author | Wall, Thomas C. | en_US |
dc.contributor.author | Califf, Robert M. | en_US |
dc.contributor.author | Harrelson-Woodlief, Lynn | en_US |
dc.contributor.author | Mark, Daniel B. | en_US |
dc.contributor.author | Honan, Michael | en_US |
dc.contributor.author | Abbottsmith, Charles W. | en_US |
dc.contributor.author | Candela, Richard J. | en_US |
dc.contributor.author | Berrios, Eric | en_US |
dc.contributor.author | Phillips, Harry R. | en_US |
dc.contributor.author | Topol, Eric J. | en_US |
dc.date.accessioned | 2006-04-10T13:32:05Z | |
dc.date.available | 2006-04-10T13:32:05Z | |
dc.date.issued | 1990-12-15 | en_US |
dc.identifier.citation | Wall, Thomas C., Califf, Robert M., Harrelson-Woodlief, Lynn, Mark, Daniel B., Honan, Michael, Abbotsmith, Charles W., Candela, Richard, Berrios, Eric, Phillips, Harry R., Topol, Eric J. (1990/12/15)."Usefulness of a pericardial friction rub after thrombolytic therapy during acute myocardial infarction in predicting amount of myocardial damage." The American Journal of Cardiology 66(20): 1418-1421. <http://hdl.handle.net/2027.42/28271> | en_US |
dc.identifier.uri | http://www.sciencedirect.com/science/article/B6T10-4C76BNG-6H/2/ce7c2edddc50ae5ade82f5b7e60bf926 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/28271 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=2123603&dopt=citation | en_US |
dc.description.abstract | To evaluate the clinical incidence and outcomes of patients with pericarditis after thrombolytic therapy, 810 patients were prospectively studied during acute myocardial infarction (AMI). Pericarditis was defined as the presence of a pericardial friction rub during the hospital course. Only 5% of patients developed a rub during AMI, a low percent compared with that in the prethrombolytic era. A pericardial friction rub more often occurred in the setting of an anterior wall AMI. Patients with, compared to those without, a pericardial friction rub had lower ejection fractions (45 vs 51%, P = 0.002); worse regional left ventricular function (-3.2 vs 2.7, standard deviation per chord); higher in-hospital mortality (15 vs 6%, P = 0.056); a higher frequency of power failure (83 vs 57%); a higher frequency of anterior wall location of the AMI (53% of cases, P = 0.002); and a higher frequency of 3-vessel disease. Therefore, although the frequency of a pericardial friction rub was low (5%) compared with that in the prethrombolytic era, its occurrence denotes more extensive myocardial damage with a worse clinical outcome. Perhaps with successful reperfusion of the infarct-related vessel, transmural myocardial necrosis is prevented and with it the development of pericarditis. Cardiac tamponade did not occur clinically in any patient who developed a pericardial friction rub. | en_US |
dc.format.extent | 517818 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Elsevier | en_US |
dc.title | Usefulness of a pericardial friction rub after thrombolytic therapy during acute myocardial infarction in predicting amount of myocardial damage | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA; University of Michigan Medical Center, Ann Arbor, Michigan, USA; Riverside Methodist Hospital, Columbus, Ohio, USA; Christ Hospital, Cincinnati, Ohio, USA. | en_US |
dc.contributor.affiliationum | University of Michigan Medical Center, Ann Arbor, Michigan, USA; Riverside Methodist Hospital, Columbus, Ohio, USA; Christ Hospital, Cincinnati, Ohio, USA; Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA. | en_US |
dc.contributor.affiliationum | University of Michigan Medical Center, Ann Arbor, Michigan, USA; Riverside Methodist Hospital, Columbus, Ohio, USA; Christ Hospital, Cincinnati, Ohio, USA; Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA. | en_US |
dc.contributor.affiliationum | University of Michigan Medical Center, Ann Arbor, Michigan, USA; Riverside Methodist Hospital, Columbus, Ohio, USA; Christ Hospital, Cincinnati, Ohio, USA; Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA. | en_US |
dc.contributor.affiliationum | University of Michigan Medical Center, Ann Arbor, Michigan, USA; Riverside Methodist Hospital, Columbus, Ohio, USA; Christ Hospital, Cincinnati, Ohio, USA; Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA. | en_US |
dc.contributor.affiliationum | University of Michigan Medical Center, Ann Arbor, Michigan, USA; Riverside Methodist Hospital, Columbus, Ohio, USA; Christ Hospital, Cincinnati, Ohio, USA; Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA. | en_US |
dc.contributor.affiliationum | University of Michigan Medical Center, Ann Arbor, Michigan, USA; Riverside Methodist Hospital, Columbus, Ohio, USA; Christ Hospital, Cincinnati, Ohio, USA; Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA. | en_US |
dc.contributor.affiliationum | University of Michigan Medical Center, Ann Arbor, Michigan, USA; Riverside Methodist Hospital, Columbus, Ohio, USA; Christ Hospital, Cincinnati, Ohio, USA; Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA. | en_US |
dc.contributor.affiliationum | University of Michigan Medical Center, Ann Arbor, Michigan, USA; Riverside Methodist Hospital, Columbus, Ohio, USA; Christ Hospital, Cincinnati, Ohio, USA. | en_US |
dc.contributor.affiliationum | Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA; University of Michigan Medical Center, Ann Arbor, Michigan, USA; Riverside Methodist Hospital, Columbus, Ohio, USA; Christ Hospital, Cincinnati, Ohio, USA. | en_US |
dc.identifier.pmid | 2123603 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/28271/1/0000020.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1016/0002-9149(90)90526-7 | en_US |
dc.identifier.source | The American Journal of Cardiology | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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