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Pericarditis

Atifur Rahman1, Avadhesh Saraswat

  • 1FRACP, FCSANZ, Clinical Director of Coronary Care Unit, Gold Coast University Hospital, Associate Professor, Griffith University School of Medicine and Bond University, Gold Coast, QLD. atifur@hotmail.com.

Australian Family Physician
|November 6, 2017
PubMed

Insights

Pericarditis, an inflammation of the heart lining, presents with chest pain. Diagnosis involves characteristic symptoms, ECG changes, and echocardiography, with common treatments including NSAIDs and colchicine.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Pericarditis is a critical diagnosis in patients presenting with chest pain.
  • It requires differentiation from other potential causes of chest pain.

Purpose of the Study:

  • To detail the common features, management strategies, and potential complications of pericarditis.
  • Focus on the general practice setting.

Main Methods:

  • Clinical presentation analysis including characteristic symptoms like pleuritic chest pain.
  • Diagnostic tools such as electrocardiography (ECG) and echocardiography.
  • Review of common etiologies and treatment protocols.

Main Results:

  • Key findings include pleuritic chest pain and pericardial friction rub.
  • ECG may show diffuse PR-segment depression and ST-segment elevation.
  • Idiopathic and viral causes are most common, treated with NSAIDs and colchicine.

Conclusions:

  • Complications include pericardial effusion, tamponade, and myopericarditis.
  • Echocardiography confirms effusion, constriction, or tamponade.
  • Cardiac tamponade is a life-threatening emergency diagnosed by specific clinical signs.
Abstract

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