Diagnosis and treatment of pericarditis

摘要: ### Learning objectives 1. Review the definitions, classification and aetiology of pericarditis. 2. Describe clinical presentation, diagnostic criteria work-up, laboratory imaging findings pericarditis. 3. describe contemporary medical, interventional surgical therapies, prevention prognosis pericarditis. ### Classification definition Pericarditis is an inflammatory disease pericardium, which may have infectious or non-infectious causes, manifested by a combination signs (ie, pericardial rubs, electrocardiographic changes and effusion), symptoms (mainly chest pain but possible additional such as dyspnoea) usually elevation markers myocardial inflammation protein C reactive).1–6 A concomitant involvement has been described in about one-third patients with acute pericarditis it due to overlapping aetiological agents for myocarditis. In practice often detected lesion troponins) assessed differential diagnosis coronary syndrome. These cases preserved left ventricular function are commonly labeled myopericarditis.7 ,8 The present isolated process part another systemic disease and lung cancer) thus involving different medical specialties cardiology, internal medicine, rheumatology, oncology nephrology).6 Specific terminology adopted studies well guidelines reviews will be briefly reviewed order promote standardised definitions. Acute first attack pericarditis, generally occurring onset symptoms. Treatment episode lasts 4–6 weeks, considering dose drug tapering. If patient does not reach remission several weeks months without symptoms-free interval term incessant adopted. reappears after symptom-free recurrent relapsing …