Epistenocardic pericarditis

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Pericarditis epistenocardica is an acute inflammation of the pericardium , which within the first week after a heart attack occurs. It is characterized by characteristic dry rubbing noises when listening , which are localized over the infarct area. It typically occurs in large, transmural and pericardial infarctions.

It begins as dry pericarditis, hence the rubbing noises, and can develop into wet pericarditis over time, with the rubbing noises regressing.

The so-called Dressler syndrome must be distinguished from P. epistenocardica , which typically occurs one to 6 weeks after heart muscle damage and in which an (auto) immune genesis is suspected.

literature

  • Meinhard Classen: Internal medicine: 1200 tables, 200 case reports, 450 summaries, 180 practical questions. Urban & Fischer, 2009. ISBN 9783437428319 . P. 88
  • Herbert Renz-Polster, Steffen Krautzig: Basic textbook internal medicine: compact, tangible, understandable. Urban & Fischer, 2012. ISBN 9783437592102 . P. 72ff .; P. 130

Individual evidence

  1. Gerd Herold (Ed.): Internal Medicine. A lecture-oriented presentation. Herold, Cologne 2015. ISBN 978-3-9814660-5-8 . P. 234