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Related Concept Videos

Pericarditis I: Introduction01:22

Pericarditis I: Introduction

13
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
13
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

12
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...
12
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

17
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...
17
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

21
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.
21
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

12
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
12
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

21
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
21

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An Intact Pericardium Ischemic Rodent Model
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Recurrent pericarditis.

Peter M Andel1, Pål Aukrust2, Jostein Gleditsch3

  • 1Revmatologisk seksjon, Oslo universitetssykehus, Rikshospitalet, og, Hjertemedisinsk avdeling, Sykehuset Østfold, og, Institutt for klinisk medisin, Universitetet i Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 31, 2023
PubMed
Summary
This summary is machine-generated.

Recurrent pericarditis, often caused by autoinflammatory processes, affects many patients. New treatments like interleukin-1 inhibitors improve outcomes for difficult cases.

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Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Pericarditis is a key consideration for chest pain.
  • Common causes include idiopathic pericarditis and post-cardiac surgery/myocardial infarction inflammation.
  • Recurrence impacts up to 30% of patients, with 10% developing refractory cases.

Purpose of the Study:

  • To provide an updated review of diagnostic evaluation and treatment strategies for recurrent primary pericarditis.

Main Methods:

  • This is a clinical review.
  • Summarizes current knowledge on diagnosis and treatment.
  • Focuses on autoinflammatory mechanisms and advanced therapies.

Main Results:

  • Recurrent pericarditis is linked to autoinflammatory processes.
  • Colchicine and interleukin-1 inhibitors are effective treatments.
  • Advanced imaging aids diagnosis.

Conclusions:

  • Effective management of recurrent pericarditis has improved significantly.
  • Interleukin-1 inhibitors offer new hope for refractory cases.
  • Understanding autoinflammatory mechanisms is crucial for treatment.