Pericarditis aguda pdf 2013

Pericarditis trastornos cardiovasculares manual msd. It is diagnosed in 5% of patients presenting to hospital emergency departments with chest pain in the absence of a myocardial infarction. The pericardium normally functions to protect the heart and reduce friction between the heart and surrounding organs. Pericarditis may be accompanied by pericardial effusion, which is fluid accumulation in the pericardial sac. Mar 18, 2015 this feature is not available right now. Miocarditis enfermedades cardiovasculares enfermedades. Pericarditis aguda complicada con derrame pericardico. Alice leites do canto mendez, noelia brandon, carmen paes. Las formas agudas y las formas cronicas son muy diferentes, no solamente por su presentacion, su etiologia, etc. The european society of cardiology published the only treatment guideline for pericarditis almost a decade ago, and many of the. Pericarditis is an inflammation of the pericardium. Acute pericarditis in the united states is usually idiopathic and presumed to be viral.

Acute pericarditis due to connective tissue disease uremic pericarditis. Pericarditis can progress to pericardial effusion and eventually cardiac tamponade. Adapted from the journal of the american society of echocardiography 20, 26, 9651012. In the openlabel colchicine in acute pericarditis cope trial, 120 patients with a first episode of acute pericarditis were randomized to receive colchicine 0. In contrast to our suggestions, the esc guidelines recommend rapid tapering to reduce the risk of systemic side effects. Good prognosis for pericarditis with or without myocardial involvement. Pericarditis is an important diagnosis to consider in a patient presenting with chest pain. This can be seen in people who are experiencing the classic signs of pericarditis but then show signs of relief, and progress to show signs of cardiac tamponade which include decreased alertness and lethargy, pulsus paradoxus decrease of at least 10 mmhg of the systolic blood pressure upon inspiration, low. Pericarditis symptoms, diagnosis and treatment bmj. The 2015 esc guidelines recommend use of low to moderate doses of glucocorticoids eg, prednisone 0. Miocarditis, pericarditis y endocarditis revision bibliografica. Prevalence of creactive protein elevation and time course of normalization in acute pericarditis.

In healthy individuals, the pericardial cavity contains 15. Acute pericarditis has a number of potential etiologies including infection, acute myocardial infarction, medication use, trauma to the thoracic cavity, and systemic diseases, such as rheumatoid. Pdf on jul 31, 20, stefan buchholz and others published pericarditis find, read and cite all the research you need on researchgate. A history and laboratory tests, a chest radiograph, and an echocardiogram are used in evaluation. Appropriate therapy for acute idiopathic pericarditis is an nsaid for. The main symptom of pericarditis is a sudden, sharp stabbing pain behind your breastbone. Pericardium the pericardium is a fibroelastic sac made up of visceral and parietal layers separated by a potential space, the pericardial cavity. Palancaarias d, corellaaznar eg, ayerzacasas a, ayerzacasas a, fernandezgomez a, lopezramon m, et al. This article describes the common features and management of pericarditis in the general practice setting. Treatment of acute and recurrent idiopathic pericarditis. Acute pericarditis is a common disease caused by inflammation of the pericardium, usually benign and selflimited and can occur as an isolated or as a manifestation of a systemic disease entity. Pdf pericarditis y derrame pericardico como presentacion.