Related Experiment Video

Updated: Apr 6, 2026

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation
08:56

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

Published on: September 24, 2021

3.2K

Myocarditis And Pericarditis In The Pediatric Patient: Validated Management Strategies

Kelly R Bergmann, Anupam Kharbanda, Lauren Haveman

    Pediatric Emergency Medicine Practice
    |July 23, 2015
    PubMed

    Insights

    Pediatric myocarditis and pericarditis require prompt recognition. Treatment focuses on supportive care for heart failure in myocarditis and pericardiocentesis for tamponade in pericarditis.

    Area of Science:

    • Pediatric Cardiology
    • Cardiovascular Inflammation
    • Emergency Medicine

    Background:

    • Myocarditis and pericarditis are rare heart inflammations in children, often presenting with non-specific symptoms.
    • Etiologies include viral, autoimmune, or idiopathic causes, necessitating a high index of suspicion in emergency settings.
    • Symptoms vary from flu-like illness to heart failure in myocarditis, and chest pain/fever in pericarditis.

    Purpose of the Study:

    • To review the current medical evidence on the evaluation and treatment of pediatric myocarditis and pericarditis.
    • To emphasize key diagnostic and therapeutic strategies for emergency clinicians.
    • To provide an overview of management for these pediatric cardiovascular emergencies.

    Main Methods:

    • Literature review of current medical evidence.
    • Focus on diagnostic criteria and therapeutic interventions.
    • Emphasis on pediatric populations.

    Main Results:

    • Myocarditis management involves aggressive supportive care for heart failure, inotropes, and antidysrhythmics, often requiring intensive care.
    • Pericarditis management includes recognizing and treating tamponade via pericardiocentesis, with medical therapy like NSAIDs and colchicine; steroids are used selectively.
    • Both conditions require careful clinical evaluation and evidence-based treatment protocols.

    Conclusions:

    • Early recognition and prompt management are crucial for pediatric myocarditis and pericarditis.
    • Treatment strategies differ significantly between myocarditis and pericarditis, requiring tailored approaches.
    • Adherence to current medical evidence ensures optimal outcomes for children with these inflammatory heart conditions.

    More Related Videos

    Testing the Efficacy of Pharmacological Agents in a Pericardial Target Delivery Model in the Swine10:05

    Testing the Efficacy of Pharmacological Agents in a Pericardial Target Delivery Model in the Swine

    Published on: July 7, 2016

    9.0K
    Percutaneous Contrast Echocardiography-guided Intramyocardial Injection and Cell Delivery in a Large Preclinical Model14:24

    Percutaneous Contrast Echocardiography-guided Intramyocardial Injection and Cell Delivery in a Large Preclinical Model

    Published on: January 21, 2018

    12.3K

    Related Concept Videos

    Myocarditis III: Medical Management01:14

    Myocarditis III: Medical Management

    Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
    324
    Pericarditis III: Medical Management01:17

    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...
    533
    Myocarditis IV: Nursing Management01:22

    Myocarditis IV: Nursing Management

    Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
    363
    Pericarditis IV: Nursing Management01:25

    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.
    564
    Pericarditis II: Clinical Features and Diagnostic Tests01:19

    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...
    559
    Endocarditis III: Medical Management01:18

    Endocarditis III: Medical Management

    Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
    335