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Recurrent pericarditis.

N O Fowler1

  • 1Department of Internal Medicine, University of Cincinnati College of Medicine, Ohio.

Cardiology Clinics
|November 1, 1990
PubMed
Summary
This summary is machine-generated.

Recurrent pericarditis, often following idiopathic cases, has a 15-32% recurrence rate. While generally good prognosis, initial treatment with NSAIDs is preferred over steroids to prevent further episodes.

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Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Recurrent pericarditis commonly follows acute nonspecific pericarditis.
  • It can also occur after cardiac trauma, surgery, myocardial infarction, or bleeding.
  • The recurrence rate after idiopathic pericarditis is estimated between 15% and 32%.

Purpose of the Study:

  • To review the causes, recurrence rates, and management of recurrent pericarditis.
  • To evaluate the efficacy and potential drawbacks of different treatment modalities.

Main Methods:

  • Review of existing literature and case series on recurrent pericarditis.
  • Analysis of patient data regarding triggers, recurrence patterns, and treatment responses.

Main Results:

  • The exact mechanism of recurrence remains uncertain, with autoimmune responses unproven.

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  • Prognosis is generally good, with constrictive pericarditis and cardiac tamponade being rare complications.
  • Most patients respond to adrenal steroids, but NSAIDs are recommended as initial therapy to avoid prolonged attacks and further recurrences.

    • Conclusions:

    • Initial treatment with aspirin or NSAIDs is recommended for recurrent pericarditis.
    • Adrenal steroid therapy should be reserved for cases unresponsive to initial treatment.
    • Recurrences can be frequent and prolonged, necessitating careful management strategies.