Overview
Definition
Inflammation of the pericardium (the sac surrounding the heart).
Epidemiology
Most common form of pericardial disease.
Etiology & Risk Factors
- Viral infection (Coxsackie)
- Idiopathic
- Uremia
- Post-MI (Dressler syndrome)
Clinical Symptoms
- Pleuritic chest pain improved by leaning forward
- Friction rub
Clinical Approach
Diagnosis
- ECG (Diffuse ST elevations)
- Echocardiogram
Management
- NSAIDs
- Colchicine
- Corticosteroids (refractory)
Complications
- Pericardial effusion
- Cardiac tamponade
- Constrictive pericarditis