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An ECG showing pericarditis. Note the ST elevation in multiple leads with slight reciprocal ST depression in aVR. Acute pericarditis is a type of pericarditis (inflammation of the sac surrounding the heart, the pericardium) usually lasting less than 4 to 6 weeks. [1] It is the most common condition affecting the pericardium.
Constrictive pericarditis is defined by a fibrotic (thickened) pericardium. Constrictive pericarditis is a condition characterized by a thickened, fibrotic pericardium, limiting the heart's ability to function normally. [1] In many cases, the condition continues to be difficult to diagnose and therefore benefits from a good understanding of the ...
Pericarditis is inflammation of the pericardium, the fibrous sac surrounding the heart. [ 8 ] Symptoms typically include sudden onset of sharp chest pain, which may also be felt in the shoulders, neck, or back. [ 1 ] The pain is typically less severe when sitting up and more severe when lying down or breathing deeply. [ 1 ]
The diagnosis of purulent pericarditis requires a combination of clinical assessment, laboratory tests, and imaging studies. Pericardiocentesis with evaluation of pericardial fluid by culture and microscopy is necessary to make the diagnosis, however several other findings may increase the likelihood of purulent pericarditis.
An ST elevation is considered significant if the vertical distance inside the ECG trace and the baseline at a point 0.04 seconds after the J-point is at least 0.1 mV (usually representing 1 mm or 1 small square) in a limb lead or 0.2 mV (2 mm or 2 small squares) in a precordial lead. [2] The baseline is either the PR interval or the TP interval ...
Postpericardiotomy syndrome (PPS) is a medical syndrome referring to an immune phenomenon that occurs days to months (usually 1–6 weeks [1]) after surgical incision of the pericardium (membranes encapsulating the human heart). [2] PPS can also be caused after a trauma, a puncture of the cardiac or pleural structures (such as a bullet or stab ...
Fibrinous pericarditis is an exudative inflammation. The pericardium is infiltrated by the fibrinous exudate. This consists of fibrin strands and leukocytes. Fibrin describes an amorphous, eosinophilic (pink) network. Leukocytes (white blood cells; mainly neutrophils) are found within the fibrin deposits and intrapericardic.
Dressler syndrome. Dressler syndrome is a secondary form of pericarditis that occurs in the setting of injury to the heart or the pericardium (the outer lining of the heart). It consists of fever, pleuritic pain, pericarditis and/or pericardial effusion. Dressler syndrome is also known as postmyocardial infarction syndrome[1] and the term is ...
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