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{{Infobox_Disease |
__NOTOC__
  Name          = {{PAGENAME}} |
{| class="infobox" style="float:right;"
  Image          = Mesothelial cyst of the pericardium.jpg|
|-
  Caption        = Mesothelial cyst of the pericardium. Note the rounded mass in the right costophrenic angle (arrow). <br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small>|
| [[File:Siren.gif|30px|link=Pericarditis resident survival guide]]|| <br> || <br>
  DiseasesDB    = 9820 |
| [[Pericarditis resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
  ICD10          = {{ICD10|I|01|0|i|00}}, {{ICD10|I|09|2|i|05}}, {{ICD10|I|30||i|30}}-{{ICD10|I|32||i|30}} |
|}
  ICD9          = {{ICD9|420.90}} |
{{Patient}}
  ICDO          = |
{{Pericarditis}}
  OMIM          = |
{{CMG}}; {{AE}}{{Homa}}[[Varun Kumar, M.B.B.S.]]; {{CZ}}
  MedlinePlus    = 000182 |
  eMedicineSubj  = med |
  eMedicineTopic = 1781 |
  eMedicine_mult = {{eMedicine2|emerg|412}} |
  MeshName      = Pericarditis  |
  MeshNumber    = C14.280.720 |
}}


{{Template:Pericarditis}}
{{SK}}[[acute pericarditis]], [[chronic pericarditis]], [[idiopathic pericarditis]], [[recurrent pericarditis]], [[chronic effusive pericarditis]], [[chronic constrictive pericarditis]], [[inflammation of the pericardium]], [[pericardial inflammation]], [[inflammation of the pericardial sac]], [[serous pericarditis]], [[purulent pericarditis]], [[hemorrhagic pericarditis]], [[fibrinous pericarditis]], [[caseous pericarditis]], [[bacterial pericarditis]], [[viral pericarditis]], [[fungal pericarditis]], [[parasitic pericarditis]], [[autoimmune pericarditis]], [[neoplastic pericarditis]], [[metabolic pericarditis]], [[traumatic pericarditis]], [[iatrogenic pericarditis]], [[drug-related pericarditis]], [[postoperative pericarditis]], [[post-operative pericarditis]], [[post-surgery pericarditis]], [[postsurgery pericarditis]], [[acute recurrent pericarditis]], [[radiation induced pericarditis]], [[radiation-induced pericarditis]], [[uremic pericarditis]], [[radiation induced constrictive pericarditis]], [[children pericarditis]], [[pericarditis in children]]


'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
== [[Pericarditis overview|Overview]] ==


{{CMG}}  ; '''Associate Editor-In-Chief:''' {{CZ}}
== [[Pericardium|Pericardial Anatomy]] ==


'''''Synonyms and keywords:''''' Perciarditis
== [[Pericarditis classification|Classification]] ==


==[[Diseases of the pericardium overview | Overview]]==
== [[Pericarditis pathophysiology|Pathophysiology]] ==


==Pathophysiology & Etiology==  
== [[Pericarditis causes|Causes]] ==
[[HIV]] | [[Dressler's syndrome|Post-MI]] | [[Postpericardiotomy syndrome|Post-pericardiotomy]] | [[Radiation induced pericarditis|Radiation]] | [[Tuberculous pericarditis|Tuberculosis]] | [[Uremic pericarditis|Uremia]] | [[Pericarditis in malignancy|Malignancy]]


[[Pericarditis overview of pathophysiology & etiology | Overview]] | [[Pericarditis causes | Pericarditis causes]]
== [[Pericarditis differential diagnosis|Differentiating Pericarditis from other Diseases]] ==
   
==Differential Diagnosis for Diseases of the Pericardium ==


[[Pericarditis differential diagnosis | Pericarditis differential diagnosis]] | [[Acute Pericarditis | Acute Pericarditis]] | [[Chronic Pericarditis | Chronic Pericarditis]]
== [[Pericarditis epidemiology and demographics|Epidemiology and Demographics]] ==


== Clinical presentation ==
== [[Pericarditis natural history|Natural History, Complications and Prognosis]] ==
[[Chest pain]], radiating to the back and relieved by sitting up forward and worsened by lying down, is the classical presentation. Other symptoms of pericarditis may include dry [[cough]], [[fever]], fatigue and [[anxiety]]. Pericarditis can be misdiagnosed as [[myocardial infarction]], and vice versa.
[[Pericardial effusion|Pericardial Effusion]] | [[Cardiac tamponade|Cardiac Tamponade]] | [[Constrictive pericarditis|Constrictive Pericarditis]]


The classic [[medical sign|sign]] of pericarditis is a [[pericardial rub|friction rub]].  Other signs include ST-elevation and PR-depression on [[Electrocardiogram|EKG]] (all leads); [[cardiac tamponade]] ([[pulsus paradoxus]] with [[hypotension]]), and [[congestive heart failure]] (elevated [[jugular venous pressure]] with [[peripheral edema]]).
==Diagnosis==
[[Pericarditis history and symptoms|History and Symptoms]] | [[Pericarditis physical examination|Physical Examination]] | [[Pericarditis laboratory studies|Laboratory Findings]] | [[Pericarditis electrocardiogram|Electrocardiogram]] | [[Pericarditis EKG examples|EKG Examples]] | [[Pericarditis chest x ray|Chest X Ray]] |  [[Pericarditis MRI|MRI]] | [[Pericarditis CT|CT]] | [[Pericarditis echocardiography|Echocardiography]] | [[Pericarditis other imaging findings|Other Imaging Findings]]


==Natural History==  
== Treatment ==
[[Pericarditis treatment|Medical Therapy]] | [[Pericardiocentesis]] | [[Pericardial window|Pericardial Window]] | [[Pericardial stripping|Pericardial Stripping]] | [[Treatment Related Videos]]


Most cases of acute idiopathic pericarditis resolve without complications or recurrence.
== Case Studies ==
Complications may include:
[[Pericarditis case study one|Case #1]]
* [[Pericardial effusion]]
* [[Constrictive pericarditis]]
* [[Cardiac tamponade]] [http://www.mayoclinic.com/invoke.cfm?objectid=CE3BC2CF-B4C1-4401-8F0F9E0B7C284538&dsection=6]
 
==Types & Forms of Pericarditis==
 
* A. Congenital Diseases of the Pericardium
:* [[Congenital absence of the pericardium]]
:* [[Pericardial cysts]]
* B. Acquired Diseases of the Pericardium
:* [[Pneumopericardium]]
 
== Diagnosis ==
 
[[Pericarditis history and symptoms| History and Symptoms]] | [[Pericarditis physical examination | Physical Examination]] | [[Pericarditis laboratory findings | Laboratory Findings]]
 
==[[Pericarditis treatment| Treatment]]==
 
==[[Pericarditis Pharmacotherapies | Pharmacotherapies]]==
 
== Surgical and Device Based Therapies ==
 
===[[Pericardiocentesis]]===
 
===[[A thoracoscopic approach to creating a pericardial window]]===
 
===[[A surgical subxiphoid incision to create a pericardial window]]===
 
===[[Pericardial Stripping for Constrictive Pericarditis]]===
 
===[[Treatment Related Videos]]===
 
==[[Pericarditis Complications | Complications]]==
 
==Case Examples==
 
===[[Pericarditis Case #1 | Case #1]]===
 
==See Also==


== Related Chapters ==
* [[Chylopericardium]]
* [[Congenital absence of the pericardium]]
* [[Hemopericardium]]
* [[Hemopericardium]]
* [[Pneumopericardium]]
* [[Pneumopericardium]]
* [[Chylopericardium]]
* [[Pericardial effusion]]
* [[Pericardial effusion]]
* [[Congenital absence of the pericardium]]
* [[Pericardial window]]
* [[Pericardial window]]
* [[Cardiac tamponade]]
* [[Constrictive pericarditis]]
* [[Pericardial sac]]
* [[Pericardial sac]]
* [[Pericardial friction rub]]
* [[Pericardial friction rub]]
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* [[Pericardiocentesis]]
* [[Pericardiocentesis]]
* [[Pericardium]]
* [[Pericardium]]
== Suggested Links and Web Resources ==
* [http://www.mayoclinic.com/invoke.cfm?objectid=CE3BC2CF-B4C1-4401-8F0F9E0B7C284538&dsection=1 Pericarditis] - Mayo Clinic series
* [http://cardiologychannel.com/pericarditis/diagnosis.shtml Pericarditis] - cardiologychannel.com


{{Circulatory system pathology}}
{{Circulatory system pathology}}
{{SIB}}
{{WH}}
{{WS}}


[[Category:Medicine]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Diseases involving the fasciae]]
[[Category:Up-To-Date]]
[[Category:Inflammations]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
 
[[Category:Intensive care medicine]]
 
[[de:Perikarditis]]
[[es:Pericarditis]]
[[fr:Péricardite]]
[[nl:Pericarditis]]
[[pl:Zapalenie osierdzia]]
[[pt:Pericardite]]
[[sv:Hjärtsäcksinflammation]]
[[tr:Perikard hastalıkları]]
 
 
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Latest revision as of 18:18, 23 September 2023
Resident
Survival
Guide

For patient information, click here.

Pericarditis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

HIV
Post MI
Dressler's syndrome
Post-pericardiotomy
Radiation
Tuberculosis
Uremia
Malignancy

Differentiating Pericarditis from other Diseases

Epidemiology and Demographics

Screening

Natural History, Complications and Prognosis

Pericardial Effusion
Cardiac Tamponade
Constrictive Pericarditis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Pericardiocentesis
Pericardial Window
Pericardial Stripping

Treatment Related Videos

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pericarditis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Google Images

American Roentgen Ray Society Images of Pericarditis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pericarditis

CDC on Pericarditis

Pericarditis in the news

Blogs on Pericarditis

Directions to Hospitals Treating Type page name here

Risk calculators and risk factors for Pericarditis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]Varun Kumar, M.B.B.S.; Cafer Zorkun, M.D., Ph.D. [3]

Synonyms and keywords:acute pericarditis, chronic pericarditis, idiopathic pericarditis, recurrent pericarditis, chronic effusive pericarditis, chronic constrictive pericarditis, inflammation of the pericardium, pericardial inflammation, inflammation of the pericardial sac, serous pericarditis, purulent pericarditis, hemorrhagic pericarditis, fibrinous pericarditis, caseous pericarditis, bacterial pericarditis, viral pericarditis, fungal pericarditis, parasitic pericarditis, autoimmune pericarditis, neoplastic pericarditis, metabolic pericarditis, traumatic pericarditis, iatrogenic pericarditis, drug-related pericarditis, postoperative pericarditis, post-operative pericarditis, post-surgery pericarditis, postsurgery pericarditis, acute recurrent pericarditis, radiation induced pericarditis, radiation-induced pericarditis, uremic pericarditis, radiation induced constrictive pericarditis, children pericarditis, pericarditis in children

Overview

Pericardial Anatomy

Classification

Pathophysiology

Causes

HIV | Post-MI | Post-pericardiotomy | Radiation | Tuberculosis | Uremia | Malignancy

Differentiating Pericarditis from other Diseases

Epidemiology and Demographics

Natural History, Complications and Prognosis

Pericardial Effusion | Cardiac Tamponade | Constrictive Pericarditis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | EKG Examples | Chest X Ray | MRI | CT | Echocardiography | Other Imaging Findings

Treatment

Medical Therapy | Pericardiocentesis | Pericardial Window | Pericardial Stripping | Treatment Related Videos

Case Studies

Case #1

Related Chapters

Template:WH Template:WS

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