Clinical Update in Pericardial Diseases

Area of Science:

• Cardiology
• Anesthesiology
• Internal Medicine

Background:

• Pericardial diseases encompass a spectrum of conditions affecting the pericardium.
• These conditions can range from asymptomatic to life-threatening emergencies.
• Impaired diastolic heart filling is a common pathophysiological consequence.

Purpose of the Study:

• To provide anesthesiologists with an updated review of pericardial syndromes.
• To highlight the impact of pericardial disease on perioperative management.
• To discuss diagnostic, medical, and invasive therapeutic strategies.

Main Methods:

• Literature review of recent updates on pericardial syndromes.
• Focus on the perioperative physician's perspective.
• Analysis of diagnostic evaluation, medical therapy, and invasive procedures.

Main Results:

• Pericardial disease necessitates understanding altered cardiac physiology for safe anesthesia.
• The onset rate of pericardial pathology influences impairment severity and clinical presentation.
• Effective perioperative management requires knowledge of current diagnostic and therapeutic options.

Conclusions:

• Anesthesiologists require comprehensive knowledge of pericardial disease for optimal patient care.
• Understanding the pathophysiology is crucial for managing patients undergoing interventions or surgery.
• This review synthesizes current literature to aid perioperative decision-making in pericardial disease.