Pericarditis: Difference between revisions
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'''Pericarditis''' is inflammation of the [[pericardium]] surrounding the [[heart]].<ref>{{cite web |url=http://www.nlm.nih.gov/cgi/mesh/2007/MB_cgi?mode=&term=pericarditis |title=Pericarditis|author=National Library of Medicine |accessdate=2007-10-21 |format= |work=}}</ref><ref name="pmid15548780">{{cite journal |author=Lange RA, Hillis LD |title=Clinical practice. Acute pericarditis |journal=N. Engl. J. Med. |volume=351 |issue=21 |pages=2195–202 |year=2004 |pmid=15548780 |doi=10.1056/NEJMcp041997|url=http://content.nejm.org/cgi/content/full/351/21/2195}}</ref><ref name="pmid12622586">{{cite journal |author=Spodick DH |title=Acute pericarditis: current concepts and practice |journal=JAMA |volume=289 |issue=9 |pages=1150–3 |year=2003 |pmid=12622586 |doi=}}</ref><ref name="pmid15001332">{{cite journal |author=Troughton RW, Asher CR, Klein AL |title=Pericarditis |journal=Lancet |volume=363 |issue=9410 |pages=717–27 |year=2004 |pmid=15001332 |doi=10.1016/S0140-6736(04)15648-1}}</ref> | '''Pericarditis''' is inflammation of the [[pericardium]] surrounding the [[heart]].<ref>{{cite web |url=http://www.nlm.nih.gov/cgi/mesh/2007/MB_cgi?mode=&term=pericarditis |title=Pericarditis|author=National Library of Medicine |accessdate=2007-10-21 |format= |work=}}</ref><ref name="pmid15548780">{{cite journal |author=Lange RA, Hillis LD |title=Clinical practice. Acute pericarditis |journal=N. Engl. J. Med. |volume=351 |issue=21 |pages=2195–202 |year=2004 |pmid=15548780 |doi=10.1056/NEJMcp041997|url=http://content.nejm.org/cgi/content/full/351/21/2195}}</ref><ref name="pmid12622586">{{cite journal |author=Spodick DH |title=Acute pericarditis: current concepts and practice |journal=JAMA |volume=289 |issue=9 |pages=1150–3 |year=2003 |pmid=12622586 |doi=}}</ref><ref name="pmid15001332">{{cite journal |author=Troughton RW, Asher CR, Klein AL |title=Pericarditis |journal=Lancet |volume=363 |issue=9410 |pages=717–27 |year=2004 |pmid=15001332 |doi=10.1016/S0140-6736(04)15648-1}}</ref> | ||
Revision as of 23:22, 21 October 2007
Pericarditis is inflammation of the pericardium surrounding the heart.[1][2][3][4]
Signs and symptoms
Published case series provide estimated of the sensitivity of clinical findings:[5][6][7]
- The pain is usually pleuritic (it hurts when one breathes in or coughs).[3]
- The pain is worse with laying down and is better with leaning forward.[3]
- The pain may radiate to one or both trapezius ridges. [3]
- 85 percent of patients have a friction rub.[2]
Treatment
Nonsteroidal anti-inflammatory (NSAID) medications are effective in 85 to 90% of patients.[6]
Hospitalization should be considered if one of the following are present: fever >38°C, subacute onset, immunodepression, trauma, oral anticoagulant therapy, myopericarditis, severe pericardial effusion, cardiac tamponade.[6]
Prognosis
Peridarditis is unlikely to cause a dysrrhythmias in the absence of myocardial disease.[8]
Most cases resolve within 2 to 3 weeks.[7]
15 to 30 percent of patients with idiopathic pericarditis will have a recurrence.[2]
References
- ↑ National Library of Medicine. Pericarditis. Retrieved on 2007-10-21.
- ↑ 2.0 2.1 2.2 Lange RA, Hillis LD (2004). "Clinical practice. Acute pericarditis". N. Engl. J. Med. 351 (21): 2195–202. DOI:10.1056/NEJMcp041997. PMID 15548780. Research Blogging.
- ↑ 3.0 3.1 3.2 3.3 Spodick DH (2003). "Acute pericarditis: current concepts and practice". JAMA 289 (9): 1150–3. PMID 12622586. [e]
- ↑ Troughton RW, Asher CR, Klein AL (2004). "Pericarditis". Lancet 363 (9410): 717–27. DOI:10.1016/S0140-6736(04)15648-1. PMID 15001332. Research Blogging.
- ↑ Zayas R, Anguita M, Torres F, et al (1995). "Incidence of specific etiology and role of methods for specific etiologic diagnosis of primary acute pericarditis". Am. J. Cardiol. 75 (5): 378–82. PMID 7856532. [e]
- ↑ 6.0 6.1 6.2 Imazio M, Demichelis B, Parrini I, et al (2004). "Day-hospital treatment of acute pericarditis: a management program for outpatient therapy". J. Am. Coll. Cardiol. 43 (6): 1042–6. DOI:10.1016/j.jacc.2003.09.055. PMID 15028364. Research Blogging.
- ↑ 7.0 7.1 Permanyer-Miralda G, Sagristá-Sauleda J, Soler-Soler J (1985). "Primary acute pericardial disease: a prospective series of 231 consecutive patients". Am. J. Cardiol. 56 (10): 623–30. PMID 4050698. [e]
- ↑ Spodick DH (1984). "Frequency of arrhythmias in acute pericarditis determined by Holter monitoring". Am. J. Cardiol. 53 (6): 842–5. PMID 6702635. [e]