acute%20pericarditis
ACUTE PERICARDITIS
Treatment Guideline Chart

Pericarditis is the inflammation of the pericardial sac with or without pericardial effusion and accounts for 5% of visits to the emergency room for chest pain without myocardial infarction.

The patient experiences chest pain that is sharp, pleuritic, worse with inspiration or lying down and improves with sitting up and leaning forward.

Acute pericarditis is characterized by new-onset pericarditis with at least 2 of the following:

  • Pericarditic chest pain
  • Pericardial friction rubs
  • New or worsening pericardial effusion
  • ECG finding of a new diffuse ST-segment elevation or PR depression

Acute Pericarditis References

  1. Adler Y, Charron P, Imazio M, et al; European Society of Cardiology (ESC). 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2015 Nov 7;36(42):2921-2964. doi: 10.1093/eurheartj/ehv318. PMID: 26320112
  2. Daskalov IR, Valova-Ilieva T. Management of acute pericarditis: treatment and follow-up. European Society of Cardiology (ESC). https://www.escardio.org/. 13 Sep 2017.
  3. Imazio M. Acute pericarditis: treatment and prognosis. UpToDate. https://www.uptodate.com/. 18 Sep 2017.
  4. Lilly LS. Treatment of acute and recurrent idiopathic pericarditis. Circulation. 2013 Apr 23;127(16):1723-1726. doi: 10.1161/CIRCULATIONAHA.111.066365. PMID: 23609551
  5. Rahman A, Saraswat A. Pericarditis. Aust Fam Physician. 2017 Nov;46(11):810-814. https://www.racgp.org.au/. PMID: 29101915
  6. Xanthopoulos A, Skoularigis J. Diagnosis of acute pericarditis. European Society of Cardiology (ESC). https://www.escardio.org/. 06 Sep 2017.
  7. Chiabrando JG, Bonaventura A, Vecchié A, et al. Management of acute and recurrent pericarditis: JACC state-of-the-Art Review. J Am Coll Cardiol. 2020 Jan;75(1):76-92. doi:10.1016/j.jacc.2019.11.021. Accessed 1 Sep 2020. PMID: 31918837
  8. ClinicalKey. Clinical overview: pericarditis. ClinicalKey. http://www.clinicalkey.com. 17 May 2021.
  9. Hoit BD, Oh JK. Pericardial diseases. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine (26th edition). Philadelphia, PA: Elsevier; 2020. 428-436. :428-436.
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