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[New possibilities of diagnostics and therapy of pericarditis]

B Maisch1, K Karatolios

  • 1Klinik für Innere Medizin, Schwerpunkt Kardiologie, Universitätsklinikum Giessen und Marburg, Baldingerstrasse 1, 35033, Marburg, Deutschland. Bernhard.Maisch@med.uni-marburg.de

Der Internist
|January 23, 2008
PubMed

Insights

Pericarditis, an inflammation of the pericardium, is diagnosed using clinical signs and ECG. Treatment involves anti-inflammatory drugs or colchicine, with specific therapies for autoimmune, tuberculous, or malignant causes.

Area of Science:

  • Cardiology
  • Internal Medicine

Context:

  • Pericarditis is an inflammatory condition affecting the pericardium.
  • Diagnosis relies on clinical presentation and electrocardiogram (ECG) findings.
  • Echocardiography is crucial for assessing pericardial effusion size and hemodynamic impact.

Purpose:

  • To outline the diagnostic approach to pericarditis.
  • To detail etiological investigations including pericardiocentesis and biopsy.
  • To review current therapeutic strategies for various forms of pericarditis.

Summary:

  • Diagnosis is clinical, supported by ECG and echocardiography.
  • Etiology can be identified through invasive procedures and detailed analyses.
  • Primary treatments include NSAIDs and colchicine.
  • Systemic corticosteroids are reserved for specific conditions.
  • Intrapericardial therapies show promise for refractory or malignant cases.

Impact:

  • Provides a comprehensive overview of pericarditis diagnosis and management.
  • Highlights the importance of etiological investigation for targeted therapy.
  • Informs clinical practice regarding the appropriate use of anti-inflammatory and other treatments.

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