8. Pericardial Disease Flashcards
outer pericardium layer
fibrous
inner pericardium layer
serous
small effusion stretches
elasin fibers
large effusion stretches
stiff collagen fibers
what happens with increased RV filling
shifts intraventricular septum left
most common pericardial disorder
pericarditis
pericarditis classification
acute: 2-4 weeks
incessant: 1-3 months
chronic: > 3 months
recurrent: recurrence after 4-6 weeks no symptoms
pericarditis diagnosis
pleuritic chest pain
pericardial friction
diffuse ST elevation
PR depression
pericarditis
pericardial effusion
how to differentiate pericarditis from STEMI
pain is not relieved by NTG
incr inflammatroy markers
no reciprocal ST depression in EKG III
exudative
incr permeability
transudative
incre pressure to drive fluid movement
what does the a-line show during tamponade
pulsus paradoxus
pulsus paradoxus inspiration
decr pressure