Document Detail


Acute pericarditis.
MedLine Citation:
PMID:  18052017     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Leslie E Tingle; Daniel Molina; Charles W Calvert
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American family physician     Volume:  76     ISSN:  0002-838X     ISO Abbreviation:  Am Fam Physician     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-12-06     Completed Date:  2007-12-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1272646     Medline TA:  Am Fam Physician     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1509-14     Citation Subset:  AIM; IM    
Affiliation:
Baylor Family Medicine Residency at Garland, Garland, Texas, USA. lest@baylorhealth.edu
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MeSH Terms
Descriptor/Qualifier:
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:
0/Anti-Inflammatory Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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