Pericardial Disease

Question 1

NSAID duration for acute pericarditis

Answer 1

1-2 weeks, consider 4-6 week taper

Question 2

NSAIDs for acute pericarditis

Answer 2

ASA 750-1000 TID
Ibuprofen 600 TID
Indomethacin 50 TID

Question 3

Colchicine duration for acute pericarditis

Answer 3

3 months

Question 4

Therapies for recurrent pericarditis

Answer 4

NSAID + colchicine with longer taper
Triple therapy
Immunotherapy
Pericardiectomy

Question 5

Echo doppler hemodynamics for constriction pericarditis

Answer 5

Inspiratory decrease in PV and MV flow, septum shifts left

Expiratory decrease in HV and TV flow, septum shifts right

Question 6

RHC CP vs restriction

Answer 6

LV and RV move opposite direction in amplitude with respiration in CP

Question 7

Most common pericardial malignancies

Answer 7

Metastatic
Lung
Breast
Esophagus
Hematologic 
Melanome

Question 8

Effuse constrictive pericarditis criteria after pericardiocentesis

Answer 8

Failure of the right atrial pressure to fall by 50% or to a level <10 mm Hg after pericardiocentesis is consistent with effusive-constrictive pericarditis.