Pericarditis

Question 1

What are causes?

Answer 1

Viral- Coxscackie, infleunza
Autoimmune- RA
TB
Renal failure
Dressler Syndrome
Post MI
Hypothyroidism
Malignancy
Radiotherapy

Question 2

What are symptoms?

Answer 2

Pleuritic chest pain
Worse on lying down, relieved by leaning forwards
Flu like symptoms

Pericardial rub on examination

Question 3

What investigations are required?

Answer 3

ECG- global saddle shaped ST elevation
PR depression

Question 4

What is the management?

Answer 4

1) NSAIDs and colchicine
2) Avoid strenuous activity
3) Treat underlying cause
4) only admit if elevated trop or fever >38

Question 5

What are causes of myocarditis?

Answer 5

Viral- coxsackie B, HIV
Bacterial- Diphtheria, clostridium
Autoimmune disease- SLE

Question 6

What are symptoms of myocarditis?

Answer 6

History of viral symptoms
Chest pain
SoB
Arrythmias/palpitations

Question 7

What investigations are needed for myocarditis?

Answer 7

ECG- ST elevation, T wave inversion
Elevated CRP and trop

Question 8

What is the management?

Answer 8

Treat cause and supportive

Can cause
- dilated cardiomyopathy
Arrhythmias
Heart Failure