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Yesterday, during intercourse, I noticed a scratchy sound coming from my chest as my heart rate increased. It was loud enough that my wife also noticed it. However, the sound subsided on its own within a minute or two as my heart rate returned to normal.

There was no pain or discomfort—just the sound. I’m concerned it might be related to a punctured pericardium sac or something else. What could be the cause?
 

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