[Pericarditis]

Frédérique Gouriet1, Pierre-Yves Levy1

  • 1Institut hospitalouniversitaire Méditerranée Infection, Assistance publique de Marseille, Marseille, France.

La Revue Du Praticien
|December 5, 2018
PubMed

Insights

Pericarditis, characterized by chest pain, is increasingly diagnosed using imaging. While many causes exist, most cases remain idiopathic, necessitating long-term follow-up for better management.

Area of Science:

  • Cardiology
  • Internal Medicine
  • Diagnostic Imaging

Background:

  • Pericarditis commonly presents with chest pain.
  • Echocardiography aids in defining pericarditis with effusion.
  • Radiological exams like ultrasound, CT, and MRI are crucial for diagnosis, often incidentally.

Purpose of the Study:

  • To summarize the current understanding of pericarditis diagnosis and etiology.
  • To highlight the impact of evolving medical practices on pericarditis causes.
  • To emphasize the importance of long-term follow-up for idiopathic pericarditis.

Main Methods:

  • Review of clinical presentation and diagnostic tools for pericarditis.
  • Analysis of associated etiologies and their prevalence.
  • Discussion of diagnostic challenges and the role of imaging modalities.
  • Consideration of the influence of cardiac surgery and HIV on etiology distribution.

Main Results:

  • Chest pain is the primary symptom of pericarditis.
  • Echocardiography simplifies the diagnosis of pericarditis with effusion.
  • Idiopathic pericarditis accounts for a significant proportion of cases (50-80%).
  • No single etiology dominates, with most cases having an unknown cause.
  • Trends in cardiac surgery and HIV incidence are altering etiological patterns.

Conclusions:

  • Pericarditis diagnosis is increasingly reliant on imaging techniques.
  • The etiology of pericarditis is diverse and often remains unidentified.
  • Long-term follow-up is crucial for advancing knowledge and improving management of idiopathic pericarditis.

Keywords:
Cardiologie

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