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Article
April 21, 1956

A POST-MYOCARDIAL-INFARCTION SYNDROME: PRELIMINARY REPORT OF A COMPLICATION RESEMBLING IDIOPATHIC, RECURRENT, BENIGN PERICARDITIS

Author Affiliations
New York
From the Department of Medicine of the Maimonides Hospital, Brooklyn, N. Y., and the College of Medicine, State University of New York at New York City.
JAMA. 1956;160(16):1379-1383. doi:10.1001/jama.1956.02960510005002
Abstract

• Myocardial infarction was followed in 10 instances by a febrile complication resembling idiopathic pericarditis with pleuritis and/or pneumonitis. A pericardial friction rub was heard in eight cases. Roentgenologic evidence of pericardial effusion was found in two cases. Pleural effusion occurred in seven.

Associated with the signs of pericarditis was a peculiar temperature curve that showed protracted periods of low-grade fever between high peaks of fever and flare-ups of pain. Leukocytosis, occasionally giving counts as high as 35,000 cells per cubic millimeter, was present in 7 of the 10 cases.

Frequent relapses prolonged the febrile course to weeks or months, but in all cases the outcome was favcrable.

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