Acute Pericarditis Flashcards
1
Q
What is acute pericarditis ?
A
Inflammation of the pericardial sac lasting 4-6 weeks
2
Q
Causes of acute pericarditis ?
A
Viral - coxsackie
Tuberculosis
Uraemia
Post myocardial infarction
Early days - fibrinous pericarditis
Late (wks-months ) - autoimmune dressler syndrome
Radiotherapy
Connective tissues disease - SLE , RA
3
Q
Clinical features
A
Chest pain - maybe pleuritic
Not radiating
Relived by sitting forwards
Non productive cough
Flu like symptoms
4
Q
Diagnosis ?
A
Wide spread ST elevation - ST elevations which are SADDLE SHAPED
PR DEPRESSION MOST SPECIFIC MARKER FOR OERICARDITIS
TRANSTHORACIC ECHO
TROPONIN MILDLY ELEVATED
