Acute Pericarditis

Authors: Leilah J Dare / Editor: Jason M Kendall / Reviewer: Martin Dore / Codes: / Published: 12/11/2018

Description:

This session will look at the risk stratification and management of patients with acute pericarditis.

After completing this session you will be able to:

  • Describe the typical presenting features of a patient with acute pericarditis
  • Risk stratify patients with pericarditis in order to perform a safe discharge from the Emergency Department
  • Commence appropriate treatment for patients with acute pericarditis
  • Recognise complications of pericarditis

References:

  1. Misselt AJ et al. MR Imaging of the pericardium. Magn Reson Imaging Clin N Am 2008;16:185-199.
  2. Fruergaard P, Launbjerg J et al. The diagnoses of patients admitted with acute chest pain but without myocardial infarction. Eur Heart J 1996;17.
  3. Le Winter M, Tischler M. Pericardial Diseases. In Bonow: Braunwalds Heart Disease A Textbook of Cardiovascular Medicine, 9th ed. Chapter 75.
  4. Khandaker MH et al: Pericardial diseases; diagnosis and management. Mayo Clin Proc 2010;85(6):572-593.
  5. Lange RA, Hills D. Acute pericarditis. N Engl J Med 2004;351:2195-2202.
  6. Spodick DH. Acute pericarditis: current concepts and practice. JAMA. 2003;289:1150
  7. Ginzon LE Laks MM. The differential diagnosis of acute pericarditis from the normal variant; new electrocardiographic criteria. Circulation 1982;65:1004-1009.
  8. Body R, Ferguson C. Should we be measuring troponins in patients with acute pericarditis? Emerg Med J 2008;25:253-524.
  9. Adler Y, Charron P, Imazio M, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC)Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 2015; 36:2921.
  10. Imazio M, Cecchi E, Demichelis B et al. Indicators of poor prognosis of acute pericarditis. Circulation 2007;115:2739.
  11. Eppert A, Baombe J. Colchicine as an adjunct to non steroidal anti-inflammatory drugs for the treatment of acute pericarditis. Emerg Med J 2011:244-245.
  12. Imazio M, Cecchi E et al. Day hospital treatment of acute pericarditis. J Am Coll Cardiol 2004;43:1042-1046.
  13. Imazio M, Trinchero R. Triage and management of acute pericarditis. International Journal of Cardiology 2007;118:286-294.
  14. Alabed S Cabello JB Irving GJ Qintar M Burls A. Colchicine for pericarditis. Cochrane Database Syst Rev  2014;8

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