Viral infection, tuberculosis, uremic pericarditis, following a heart attack, cancer, autoimmune disorders, chest trauma[4][5]
Diagnostic method
Based on symptoms, electrocardiogram, fluid around the heart[6]
Differential diagnosis
Heart attack[1]
Treatment
NSAIDs, colchicine, corticosteroids[6]
Prognosis
Usually good[6][7]
Frequency
3 per 10,000 per year[2]
Pericarditis is inflammation of the pericardium, the fibrous sac surrounding the heart.[8] Symptoms typically include sudden onset of sharp chest pain, which may also be felt in the shoulders, neck, or back.[1] The pain is typically less severe when sitting up and more severe when lying down or breathing deeply.[1] Other symptoms of pericarditis can include fever, weakness, palpitations, and shortness of breath.[1] The onset of symptoms can occasionally be gradual rather than sudden.[8]
The cause of pericarditis often remains unknown but is believed to be most often due to a viral infection.[4][8] Other causes include bacterial infections such as tuberculosis, uremic pericarditis, heart attack, cancer, autoimmune disorders, and chest trauma.[4][5] Diagnosis is based on the presence of chest pain, a pericardial rub, specific electrocardiogram (ECG) changes, and fluid around the heart.[6] A heart attack may produce similar symptoms to pericarditis.[1]
Treatment in most cases is with NSAIDs and possibly the anti-inflammatory medication colchicine.[6] Steroids may be used if these are not appropriate.[6] Symptoms usually improve in a few days to weeks but can occasionally last months.[3] Complications can include cardiac tamponade, myocarditis, and constrictive pericarditis.[1][2] Pericarditis is an uncommon cause of chest pain.[9] About 3 per 10,000 people are affected per year.[2] Those most commonly affected are males between the ages of 20 and 50.[10] Up to 30% of those affected have more than one episode.[10]
^ abcdefghi"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.
^ abcdImazio M, Gaita F (July 2015). "Diagnosis and treatment of pericarditis". Heart. 101 (14): 1159–68. doi:10.1136/heartjnl-2014-306362. PMID 25855795. S2CID 35310104.
^ ab"How Is Pericarditis Treated?". National Heart, Lung, and Blood Institute. September 26, 2012. Archived from the original on 2 October 2016. Retrieved 28 September 2016.
^ abcTingle LE, Molina D, Calvert CW (November 2007). "Acute pericarditis". American Family Physician. 76 (10): 1509–14. PMID 18052017.
^ ab"What Causes Pericarditis?". National Heart, Lung, and Blood Institute. September 26, 2012. Archived from the original on 2 October 2016. Retrieved 28 September 2016.
^ abcdefImazio M, Gaita F, LeWinter M (October 2015). "Evaluation and Treatment of Pericarditis: A Systematic Review". JAMA. 314 (14): 1498–506. doi:10.1001/jama.2015.12763. hdl:2318/1576078. PMID 26461998.
^Cunha BA (2010). Antibiotic Essentials. Jones & Bartlett Publishers. p. 71. ISBN 978-1-4496-1870-4.
^ abc"What Is Pericarditis?". National Heart, Lung, and Blood Institute. September 26, 2012. Archived from the original on October 2, 2016.
^McConaghy JR, Oza RS (February 2013). "Outpatient diagnosis of acute chest pain in adults". American Family Physician. 87 (3): 177–82. PMID 23418761.
^ ab"Who Is at Risk for Pericarditis?". National Heart, Lung, and Blood Institute. September 26, 2012. Archived from the original on 2 October 2016. Retrieved 28 September 2016.
can include cardiac tamponade, myocarditis, and constrictive pericarditis. Pericarditis is an uncommon cause of chest pain. About 3 per 10,000 people...
pericarditis is a form of pericarditis. It causes fibrinous pericarditis. The main cause of the disease is poorly understood. Fibrinous pericarditis is...
Acute pericarditis is a type of pericarditis (inflammation of the sac surrounding the heart, the pericardium) usually lasting less than 6 weeks.[citation...
conditions are bacterial pericarditis, pericarditis and pericarditis after a heart attack. The cause of constrictive pericarditis in the developing world...
Tuberculous pericarditis is a form of pericarditis. It is a condition in which the pericardium surrounding the heart is infected by the bacterial species...
the heart. In contrast to other causes of pericarditis which may have a viral etiology, purulent pericarditis refers specifically to bacterial or fungal...
depression is highly suggestive of pericarditis. R wave in most cases will be unaltered. In two weeks after pericarditis, there will be upward concave ST...
Dressler syndrome is a secondary form of pericarditis that occurs in the setting of injury to the heart or the pericardium (the outer lining of the heart)...
suffering with pericarditis, a pericardial friction rub can often be heard when listening to the heart with a stethoscope. Pericarditis is often caused...
[citation needed] PR segment depression may indicate atrial injury or pericarditis. P wave Clinical cardiac electrophysiology in clinical practice. Huang...
The differential diagnosis of Kussmaul's sign includes constrictive pericarditis, restrictive cardiomyopathy, pericardial effusion, and severe right-sided...
associated with pericarditis, and many people with myocarditis present with signs and symptoms that suggest myocarditis and pericarditis at the same time...
a serofibrinous pericardial exudate described as "bread-and-butter" pericarditis, which usually resolves without sequelae. Involvement of the endocardium...
pericardial rub, is an audible medical sign used in the diagnosis of pericarditis. Upon auscultation, this sign is an extra heart sound of to-and-fro character...
gliding. Other conditions that can produce similar symptoms include pericarditis, heart attack, cholecystitis, pulmonary embolism, and pneumothorax. Diagnostic...
Other conditions that may produce similar symptoms include angina, pericarditis, pleurisy, and chest trauma. Treatment is usually via reassurance, as...
in 1958, who called it Bacteroides corrodens. E. corrodens is a rare pericarditis associated pathogen. It is a fastidious, slow growing, human commensal...
Myopericarditis is a combination of both myocarditis and pericarditis appearing in a single individual, namely inflammation of both the pericardium and...
include cancer, kidney failure, chest trauma, myocardial infarction, and pericarditis. Other causes include connective tissues diseases, hypothyroidism, aortic...
severe aortic valve stenosis, and disorders of the aorta. Constrictive pericarditis is a rare cause. Masses can grow to press on major blood vessels causing...
tamponade due to its speed. Pericardiocentesis can relieve the symptoms of pericarditis. There may be a normal amount of pericardial fluid, but inflammation...
indication of a variety of illnesses, including costochondritis and viral pericarditis. Precordial thump Precordial examination Commotio cordis Hyperdynamic...
attack, heart failure, and inflammation of the sac around the heart (pericarditis).[citation needed] Gastrointestinal system: Damage to mesenteric arteries...
is usually studied and treated by specifying it as:[citation needed] Pericarditis is the inflammation of the pericardium Myocarditis is the inflammation...
release Dylan was hospitalized with a life-threatening heart infection, pericarditis, brought on by histoplasmosis. His scheduled European tour was canceled...
Cardiac: constrictive pericarditis. One study found that pulsus paradoxus occurs in less than 20% of patients with constrictive pericarditis. pericardial effusion...
juvenile idiopathic arthritis and rheumatoid arthritis. It is also used for pericarditis and patent ductus arteriosus. In some countries, ibuprofen lysine (the...
Global Information