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Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation
Published on: September 24, 2021
[Pericarditis]
Frédérique Gouriet1, Pierre-Yves Levy1
1Institut hospitalouniversitaire Méditerranée Infection, Assistance publique de Marseille, Marseille, France.
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.
Abstract:
Pericarditis. Chest pain is the main symptom of pericarditis. The advent of echocardiography simplifies the definition of pericarditis with effusion, which is now a clinical entity. It is often diagnosed on radiological exams (ultrasound, CT scan, MRI) carried out in the exploration of other pathologies. Many etiologies are associated with pericarditis, however none accounts for more than 10% of cases and in 50-80% of cases none etiology is not found. Currently the increase in the number of percutaneous cardiac surgery, cardiac surgery and the increasing incidence of HIV modified the etiologies distribution. The biological tests depend on the medical team in charge of the patient. Long-term follow-up of idiopathic pericarditis is essential to improve the knowledge and the management of these patients.
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