Pericardial Diseases

Question 1

Dressler syndrome

Answer 1

Pericarditis occurring 1-2 weeks post MI

Question 2

Pericardial friction rub, CP worse with inspiration, pain relieved when leaning forward, persistent pain

Answer 2

Acute pericarditis

Question 3

ECG findings for pericarditis

Answer 3

Diffuse ST elevation with PR depression

Question 4

Management of pericarditis

Answer 4

1. Aspirin or nsaids

2. Colchicine

Question 5

Distant muffled heart sounds

Answer 5

Pericardial effusion

Question 6

Ecg findings for pericardial effusion

Answer 6

Low voltage QRS

Electric Alterans

Question 7

Becks triad

Answer 7

Associated with pericardial tamponade

1. Distant heart sounds
2. Increased JVP
3. Hypotension

Question 8

Pulses paradoxus

Answer 8

Drop of greater than 10 in systolic with inspiration

Question 9

Kussmauls associated with

Answer 9

Pericardial tamponade

Restrictive cardiomyopathy

Question 10

Treatment for pericardial tamponade

Answer 10

Pericardiocentesis

Question 11

Pericardial knock -3rd heart sound

Echo shows pericardial thickening and calcification

Answer 11

Constrictive pericarditis

Question 12

Treatment for constrictive pericarditis

Answer 12

Pericardiectomy