Pericarditis Flashcards
Pericarditis?
Inflammation if the pericardium, may be acute, subacute or chronic.
Pericarditis risk factors (11)?
idiopathic,
infective (coxsackie B, echovirus, mumps, streptocci, fungi, TB)
connective tissue disease,
post MI,
Dresslers syndrome,
malignancy.
Pericarditis epidemiology?
rare, more common in males
Pericarditis symptoms (6)?
chest pain that’s sharp and central, may radiate to neck or shoulders, worse on coughing and deep inspiration, relieved by sitting forward, dyspnoea, nausea.
Pericarditis signs?
fever, pericardial friction rub (heard at lower left sternal edge with patient leaning forward during expiration) cardiac tamponade signs, becks triad, tachycardia, pulsus paradoxus
Pericarditis becks triad?
raised JVP, low BP, muffled heart sound
Constrictive Pericarditis signs?
Kussmauls sign, pulsus paradoxus, hepatomegaly, ascites, oedema, pericardial knock, AF.
Pericarditis Kussmauls sign?
?
Pericarditis investigations ECG?
widespread saddle shaped ST elevation
Pericarditis investigations echocardiogram?
assess pericardial effusion and cardiac function
Pericarditis investigations CXR?
may be globular if there’s pericardial effusion
Pericarditis investigations management acute?
cardiac tamponade treated with emergency pericardiocentesis.
Pericarditis management medical?
treat cause and NSAIDs for pain.
Pericarditis management recurrant?
low dose steroids, immunosuppressants, colchicine.
Pericarditis management surgical?
pericardiectomy in cases of constrictive pericarditis.
Pericarditis complications?
pericardial effusion, cardiac tamponade, cardiac arrhythmias
