Postcardiac injury rheumatism

The incidence, clinical comparison, laboratory features,
therapeutic choices with outcomes of early and late
postcardiac injury rheumatism (PIR) were studied
prospectively. Out of the 249 patients who survived cardiac
surgery, 20 (8%) and 22 (9%) patients had early and late PIR
respectively. Earlier onset (within two weeks of surgery),
milder articular involvement, absence of constitutional
features and laboratory abnormalities and good response to
analgesics were characteristics of early PIR. In contrast,
late PIR which occurred between the third and fourteenth week
after surgery was associated with more marked articular
involvement along with systemic and laboratory abnormalities
and required longer analgesic therapy, steroid support or
prolonged physiotherapy in different combinations. We conclude
that two distinct rheumatic syndromes with different clinical
dimensions and therapeutic options can occur after cardiac

Mukhopadhyay P, Chakraborty S, Mukherjee S

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