Pericarditis
Pericarditis (pronunciation: peri·car·di·tis) is a heart condition. It is the inflammation of the pericardium, the tissue (sack) surrounding the heart.[1]
| Pericarditis | |
|---|---|
| An ECG showing pericarditis, with ST elevation in multiple leads and slight reciprocal ST depression in aVR. | |
| Medical specialty | Cardiology |
| Symptoms | Sharp chest pain, better sitting up and worse with lying down, fever[2] |
| Complications | Cardiac tamponade, myocarditis, constrictive pericarditis[2][3] |
| Usual onset | Typically sudden[2] |
| Duration | Few days to weeks[4] |
| Causes | Viral infection, tuberculosis, uremic pericarditis, following a heart attack, cancer, autoimmune disorders, chest trauma[5][6] |
| Diagnostic method | Based on symptoms, electrocardiogram, fluid around the heart[7] |
| Differential diagnosis | Heart attack[2] |
| Treatment | NSAIDs, colchicine, corticosteroids[7] |
| Prognosis | Usually good[7][8] |
| Frequency | 3 per 10,000 per year[3] |
Signs and Symptoms
Pericarditis can be acute pericarditis or chronic pericarditis. A typical symptom of acute pericarditis is a sharp, pricking chest pain taking place rapidly. It is felt in the left side of chest or the middle in women unless the pain is radiating. The pain could go (radiate) to the upper back or be on the chest (and it may depend on sitting/standing forward or straight posture). There may be pain in one or both shoulders, abdomen, back, and neck.[2][3]
References
- ↑ "What Is Pericarditis?". National Heart, Lung, and Blood Institute. September 26, 2012. Archived from the original on October 2, 2016.
- ↑ 2.0 2.1 2.2 2.3 2.4 "What Are the Signs and Symptoms of Pericarditis?". National Heart, Lung, and Blood Institute. September 26, 2012. Archived from the original on 2 October 2016. Retrieved 28 September 2016.
- ↑ 3.0 3.1 3.2 Imazio, Massimo; Gaita, Fiorenzo (2015-07-15). "Diagnosis and treatment of pericarditis". Heart. 101 (14): 1159–1168. doi:10.1136/heartjnl-2014-306362. ISSN 1355-6037. PMID 25855795.
- ↑ "How Is Pericarditis Treated? - NHLBI, NIH". 2016-10-02. Archived from the original on 2016-10-02. Retrieved 2025-04-21.
{{cite web}}: CS1 maint: bot: original URL status unknown (link) - ↑ "What Causes Pericarditis? - NHLBI, NIH". 2016-10-02. Archived from the original on 2016-10-02. Retrieved 2025-04-21.
{{cite web}}: CS1 maint: bot: original URL status unknown (link) - ↑ Tingle, Leslie E.; Molina, Daniel; Calvert, Charles W. (2007-11-15). "Acute pericarditis". American Family Physician. 76 (10): 1509–1514. ISSN 0002-838X. PMID 18052017.
- ↑ 7.0 7.1 7.2 Imazio, Massimo; Gaita, Fiorenzo; LeWinter, Martin (2015-10-13). "Evaluation and Treatment of Pericarditis: A Systematic Review". JAMA. 314 (14): 1498. doi:10.1001/jama.2015.12763. ISSN 0098-7484. PMID 26461998.
- ↑ Cunha BA (2010). Antibiotic Essentials. Jones & Bartlett Publishers. p. 71. ISBN 978-1-4496-1870-4.