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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 ]
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.
Purulent Pericarditis; Echocardiogram showing pericardial effusion with signs of cardiac tamponade: Specialty: Cardiology: Symptoms: substernal chest pain (exacerbated supine and with breathing deeply), dyspnea, fever, rigors/chills, and cardiorespiratory signs (i.e., tachycardia, friction rub, pulsus paradoxus, pericardial effusion, cardiac tamponade, pleural effusion)
CT scan, MRI [1] Treatment. Diuretic, Antibiotics [1] 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 underlying cause.
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 ...
Pathology. Uremic pericarditis is associated with azotemia, and occurs in about 6-10% of kidney failure patients. BUN is normally >60 mg/dL (normal is 7–20 mg/dL). However, the degree of pericarditis does not correlate with the degree of serum BUN or creatinine elevation. The pathogenesis is poorly understood. [2]
The "swinging" heart. A pericardial effusion is an abnormal accumulation of fluid in the pericardial cavity. The pericardium is a two-part membrane surrounding the heart: the outer fibrous connective membrane and an inner two-layered serous membrane. The two layers of the serous membrane enclose the pericardial cavity (the potential space ...
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 ...