Haemorrhagica pericarditis occurs in all of the following conditions except: (AIIMS May 2009)
|A||Transmural myocardial infarction.|
|B||Dissecting aneurysm of aorta.|
|C||Metastatic disease of pericardium.|
Causes of haemorrhagic pericarditis: Robbins 7th / 601, 602
1. infective endocarditis
3. Bleeding diathesis
4. Following cardiac surgery
5. Ruptured MI
6. Ruptured aortic dissection
7. Traumatic perforation
Clinical features: Central chest pain worse on inspiration or lying flat, relief by leaning forward.
A pericardial friction Q rub may be heard
ECG classically shows concave (saddle-shaped) ST segment elevation Q, but may be normal or non-specific.