Abstract

Pericardial rub is common during the course of acute myocardial infarction (AMI). 1–3 Infarct-associated pericardial rub is usually transient and associated with transmural AMI, 1,3 but it has been reported with a greatly variable frequency and its incidence in respect to the infarct site is controversial. 1–3 Some have observed that pericardial rub was a more frequent complication in anterior rather than inferior infarcts. 2,3 Others 1 report that pericardial rub was equally distributed among patients with anterior and inferior AMI. Because the proximity of the stethoscope to the inflamed pericardium permits better detection of rubs, we hypothesized that the association of right ventricular AMI could affect the incidence of pericardial rub in patients with inferior AMI. We elucidated the difference in the incidence of pericardial rub with and without right ventricular AMI in patients after their first Q-wave inferior AMI.

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