MSRA: Pericardial Disease Flashcards
1
Q
What are the common causes of pericarditis?
A
Coxsackie virus
TB
MI
Renal failure -> uraemia
2
Q
What is found in the history of pericarditis?
A
Pericardial pain (sharp, worse on inspiration, central chest pain, radiating to the left shoulder, eased by sitting forward)
Potentially SoB / Fever
3
Q
What are the ECG changes in pericarditis?
A
Widespread saddle shaped ST elevation in multiple leads
PR depression (PR elevation in avR as reciprocal change)
4
Q
What is meant by Beck’s triad?
A
Raised JVP, low BP and muffled heart sounds
5
Q
What may be seen on an ECG in a patient with pericardial effusion?
A
Electrical alternans
Low voltage QRS complexes
6
Q
What may be seen on a CXR in a patient with pericardial effusion?
A
‘Water-bottle sign’
Rounded and enlarged cardiac silhouette
