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Complications include pericarditis, pericardial effusion, pleuritis, pulmonary infiltration, and very rarely pericardial tamponade. Of these cardiac tamponade is the most life-threatening complication. The pericardial fluid increases intra-pericardial pressure therefore preventing complete expansion of the atria and the ventricles upon the ...
Treatment for purulent pericarditis consists of two main components. [3] Antimicrobial therapy. Empiric intravenous antimicrobial therapy is recommended as soon as a diagnosis of purulent pericarditis is suspected. [3] Pericardial drainage. There are several therapeutic mechanisms that can be used to drain purulent fluid from the pericardial sac.
For example, pericardial effusion from autoimmune etiologies may benefit from anti-inflammatory medications. Pericardial effusion due to a viral infection usually resolves within a few weeks without any treatment. [8] Small pericardial effusions without any symptoms don't require treatment and may be watched with serial ultrasounds. [2]
The disease consists of persistent low-grade fever, chest pain (usually pleuritic), pericarditis (usually evidenced by a pericardial friction rub, chest pain worsening when recumbent, and diffuse ST elevation with PR segment depression), and/or pericardial effusion. The symptoms tend to occur 2–3 weeks after myocardial infarction but can also ...
Pericardiocentesis is a procedure whereby the fluid in a pericardial effusion is removed through a needle. It is performed under the following conditions: [15] presence of moderate or severe cardiac tamponade; diagnostic purpose for suspected purulent, tuberculosis, or neoplastic pericarditis; persistent symptomatic pericardial effusion
Cardiac tamponade, also known as pericardial tamponade (/ ˌ t æ m. p ə ˈ n eɪ d / [4]), is a compression of the heart due to pericardial effusion (the build-up of pericardial fluid in the sac around the heart). [2] Onset may be rapid or gradual. [2]
Severe cases may require one or more of the following: [citation needed] antibiotics to treat tuberculosis or other bacterial causes; steroids are used in acute pericarditis but are not favored bPrednisone is effective in treating acute viral or idiopathic pericarditis, pericardiocentesis to treat a large pericardial effusion causing tamponade
In pulmonary embolism, the right ventricle will be dilated. Other findings include paradoxical septal motion or clots in the right heart or pulmonary artery. Echocardiography can assess for pericardial effusion. In tamponade, collapse of the right atrium and ventricle would be seen due to pressure in the pericardial sac. [24]
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