Document Detail

The electrocardiogram often fails to identify pericarditis after percutaneous transluminal coronary angioplasty.
MedLine Citation:
PMID:  2947963     Owner:  NLM     Status:  MEDLINE    
Acute pericarditis was recognized in six of 1,316 patients undergoing percutaneous transluminal coronary angioplasty (PTCA) between September, 1980 and December, 1984. "Atypical" chest pain different from the patients' usual exertional angina pectoris accompanied by a low grade fever and a pericardial friction rub on cardiac auscultation was considered diagnostic. Cardiac enzymes (CK-MB) were mildly elevated in three of six patients. None had perfusion defects on thallium-201 perfusion images. Serial ECG's showed minor ST-T abnormalities in five of six, while only one had the "classical" generalized ST elevation commonly expected with acute pericarditis. No patient had occlusion of the vessel undergoing PTCA nor compromise of any branch vessels in the region of the stenosis. All patients had significant dissection at the site of PTCA which may cause a regional, localized acute pericarditis not recognized by standard 12-lead ECG records.
J D Slack; C A Pinkerton
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of electrocardiology     Volume:  19     ISSN:  0022-0736     ISO Abbreviation:  J Electrocardiol     Publication Date:  1986 Oct 
Date Detail:
Created Date:  1987-02-19     Completed Date:  1987-02-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  399-402     Citation Subset:  IM    
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MeSH Terms
Acute Disease
Angina Pectoris / therapy*
Angioplasty, Balloon*
Coronary Disease / therapy*
Heart Catheterization
Middle Aged
Pericarditis / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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