Acute pericarditis

Márcio Tonini1, Dirceu Thiago Pessoa de Melo2, Fábio Fernandes2

  • 1Heart Institute, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.

Revista Da Associacao Medica Brasileira (1992)
|June 25, 2015
PubMed

Insights

Acute pericarditis, an inflammation of the pericardium, is often caused by viruses. Effective treatment involves anti-inflammatory drugs and colchicine, leading to rapid symptom relief for most patients.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Acute pericarditis is a common condition involving pericardial inflammation, frequently benign and self-limiting.
  • It accounts for 5% of emergency room chest pain cases, often stemming from viral infections or systemic diseases.
  • A key complication is pericardial effusion, potentially leading to cardiac tamponade.

Purpose of the Study:

  • To review the primary clinical findings and diagnostic investigations for acute pericarditis.
  • To outline the optimal therapeutic management strategies for this condition.

Main Methods:

  • This is a review article synthesizing current knowledge on acute pericarditis.
  • It focuses on clinical presentation, diagnostic approaches, and treatment protocols.

Main Results:

  • Viral infections are the most frequent cause of acute pericarditis.
  • Initial treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) combined with colchicine yields good patient response and rapid symptom resolution.
  • Early diagnosis and appropriate management are crucial for preventing complications like cardiac tamponade.

Conclusions:

  • Acute pericarditis requires prompt diagnosis and management to prevent severe complications.
  • A combination of NSAIDs and colchicine is a highly effective first-line therapy.
  • This review provides a comprehensive overview for optimizing patient care.

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