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Cardiology IPAP > Acute Pericarditis > Flashcards

Acute Pericarditis Flashcards

1
Q

NL pericardial fluid

A

15-50mL

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2
Q

How much pericardial fluid for it to show up on CXR as cardiomegaly?

A

200-250mL

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3
Q

FX of pericardium (3)

A

Limits motion
PVT extreme dilation
Barrier from infection

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4
Q

(MC) reasons for acute PC?

A

Idiopathic or viral

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5
Q

(MC) Viral causes of acute PC?

A

CMV, Coxsackie, HSV, HIV

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6
Q

(MC) organism for acute PC in immunocompromised pts?

A

TB

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7
Q

Dressers is

A

An post-MI complication (cell death) that causes Acute PC

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8
Q

Which type of acute pericarditis has the highest mortality?

A

Purulent pericarditis

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9
Q

Which is type of acute PC is associated with a thin exudate composed of Segs, Lymph, Histocytes?

A

Serous

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10
Q

MC type of acute pericarditis?

A

Serofibrinous (Bread & Butter)

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11
Q

What type of acute pericarditis is associated with TB or Cancer?

A

Hemorrhagic

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12
Q

Which acute pericarditis can causes scarring and restriction which will reduce diastolic filling?

A

Serofibrinous (Bread & Butter)

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13
Q

PE of acute PC

A

> 100.4 fever - Bacterial maybe?

Friction Rub

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14
Q

EKG of acute PC (3)

A

Diffuse ST elevations
PR segment depression
Concave upsloping ST segment

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15
Q

What can you see on CXR for Acute PC?

A

Pulmonary infiltrates maybe

Water bottle heart

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16
Q

Is an echo suggested with acute PC?

A

Yes, all cases (R/O tamponade (Urgent)

17
Q

Difference between a decreasing vs constant troponin level?

A

Decreasing - MI (Temoprary damage to heart)

Constant - Myocarditis (Acute PC) damage is steady

18
Q

Post MI acute PC TXT -

A

M- MI >
A- ASA
C- Colchicine

19
Q

What is CI in Post MI acute pericarditis TXT?

A

NSAIDs - interferes w/ healing

CCS - causes rupture & interferes w/ healing

20
Q

Viral/Idiopathic acute PC TXT?

A

R- Rest
C- Colchicine (3mo)
N- NSAIDs (Ibuprofen or Indomethacin) (2wks)
- CI NSAIDs = ASA

21
Q

What should you monitor w/ Viral/Idiopathic acute PC TXT?

A

Weekly CRP levels

22
Q

If viral/idiopathic acute PC is refractory to traditional TXT what is the next step in TXT?

A

CCS

23
Q

What cautions should you be aware when using CCS w/ acute pericarditis?

A

Increase risk of reoccurrence
Exacerbate viral PC
PVTs NL healing and can cause a rupture

24
Q

What should you be cautious of when using NSAIDs/ASA?

A

Enhances anticoagulant effects of vit-k antagonist

25
Q

Colchicine is known to cause what with acute PC?

A

Reduce S/S & decrease rate of recurrent pericarditis and well tolerated

26
Q

What is 1st line Rx of Acute PC management?

A

Colchicine & NSAIDs

27
Q

How long is Colchicine taken?

A

3mo

28
Q

How long is NSAIDs, ASA, CCS taken?

A

2wks

Cardiology IPAP (20 decks)

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