| Acute pericarditis. | |
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MedLine Citation:
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PMID: 18052017 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although acute pericarditis is most often associated with viral infection, it may also be caused by many diseases, drugs, invasive cardiothoracic procedures, and chest trauma. Diagnosing acute pericarditis is often a process of exclusion. A history of abrupt-onset chest pain, the presence of a pericardial friction rub, and changes on electrocardiography suggest acute pericarditis, as do PR-segment depression and upwardly concave ST-segment elevation. Although highly specific for pericarditis, the pericardial friction rub is often absent or transient. Auscultation during end expiration with the patient sitting up and leaning forward increases the likelihood of observing this physical finding. Echocardiography is recommended for most patients to confirm the diagnosis and to exclude tamponade. Outpatient management of select patients with acute pericarditis is an option. Complications may include pericardial effusion with tamponade, recurrence, and chronic constrictive pericarditis. Use of colchicine as an adjunct to conventional nonsteroidal anti-inflammatory drug therapy for acute viral pericarditis may hasten symptom resolution and reduce recurrences. |
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Authors:
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Leslie E Tingle; Daniel Molina; Charles W Calvert |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: American family physician Volume: 76 ISSN: 0002-838X ISO Abbreviation: Am Fam Physician Publication Date: 2007 Nov |
Date Detail:
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Created Date: 2007-12-06 Completed Date: 2007-12-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1272646 Medline TA: Am Fam Physician Country: United States |
Other Details:
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Languages: eng Pagination: 1509-14 Citation Subset: AIM; IM |
Affiliation:
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Baylor Family Medicine Residency at Garland, Garland, Texas, USA. lest@baylorhealth.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Anti-Inflammatory Agents / therapeutic use Diagnosis, Differential Echocardiography Electrocardiography Humans Pericardiocentesis / methods Pericarditis* / diagnosis, etiology, therapy Prognosis Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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