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Pericarditis I: Introduction

Pericarditis I: Introduction

Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...

Pericarditis III: Medical Management

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...

Pericarditis IV: Nursing Management

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.

Cardiomyopathy II: Dilated Cardiomyopathy

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Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...

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Updated: Jul 18, 2026

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation

Published on: September 24, 2021

[Recurrent delayed pericarditis after pacemaker implantation: a post-pericardiotomy-like syndrome?].

J Vinit¹, P Sagnol, P Buttard

¹Service de médecine interne et immunologie, complexe Bocage, CHU, 10, boulevard Maréchal-de-Lattre-de-Tassigny, BP 77908, 21079 Dijon cedex, France. levine_julien@yahoo.com

La Revue De Medecine Interne

|November 28, 2006

Summary

Delayed pericarditis can occur after pacemaker implantation, a common cardiac procedure. This condition, similar to Dressler syndrome, requires prompt medical attention and management.

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Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation

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Area of Science:

Cardiology
Cardiac Surgery

Background:

Pacemaker implantation is a standard procedure for managing cardiac rhythm disorders.
Potential complications include acute pleural effusion and delayed pericarditis.

Observation:

A 67-year-old male developed faintness, leading to pacemaker implantation.
The patient experienced pericarditis with cardiac tamponade on day 21 post-implantation, necessitating emergency surgery.
Recurrent pericarditis occurred on day 45, successfully treated with anti-inflammatory drugs.

Findings:

Delayed pericarditis is a potential, albeit unusual, complication following pacemaker surgery.
The clinical presentation and timing suggest a post-pericardiotomy syndrome or a similar inflammatory response.

Implications:

Physicians should consider delayed pericarditis in patients presenting with chest pain or effusion after pacemaker implantation.
This case highlights the importance of recognizing and managing inflammatory complications post-cardiac device insertion.
Comparing this to Dressler syndrome offers a potential etiological framework for understanding these delayed inflammatory reactions.