Pericarditis classification: Difference between revisions

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{{Pericarditis}}
{{Pericarditis}}


{{CMG}}; {{AE}} {{HP}}{{Homa}}
{{CMG}}; {{AE}}{{Homa}}


==Overview==
==Overview==
Pericarditis may be classified according to the composition of the inflammatory exudate into 6 subtypes: [[serous]], [[purulent]], [[fibrinous]], [[caseous]], [[hemorrhagic]], and post-infarction or [[Dressler's syndrome]].  Pericarditis can also be classified into acute and chronic forms, depending on the timing of presentation and duration.
Pericarditis may be [[Classification|classified]] according to duration of the [[disease]] and recurrence into [[acute]], Incessant, recurrent and [[Chronic (medicine)|chronic]].  Moreover, pericarditis can be [[Classification|classified]] based on the [[etiology]] in two groups of [[infectious]] and non-infectious [[causes]].


==Classification==
==Classification==
Pericarditis can be classified according to the composition of the inflammatory [[exudate]] or the composition of the fluid that accumulates around the [[heart]].
Types include:
* [[Serous]]
* [[Purulent]]
* [[Fibrinous]]
* Caseous
* [[Hemopericardium|Hemorrhagic]]
* [[Dressler's Syndrome|Post infarction or Dressler's Syndrome]]


===Acute Versus Chronic Pericarditis===
* Pericarditis may be [[Classification|classified]] according to duration of the [[disease]] and recurrence into four groups:<ref name="Imazio2012">{{cite journal|last1=Imazio|first1=Massimo|title=Contemporary management of pericardial diseases|journal=Current Opinion in Cardiology|volume=27|issue=3|year=2012|pages=308–317|issn=0268-4705|doi=10.1097/HCO.0b013e3283524fbe}}</ref><ref name="ImazioSpodick2010">{{cite journal|last1=Imazio|first1=Massimo|last2=Spodick|first2=David H.|last3=Brucato|first3=Antonio|last4=Trinchero|first4=Rita|last5=Adler|first5=Yehuda|title=Controversial Issues in the Management of Pericardial Diseases|journal=Circulation|volume=121|issue=7|year=2010|pages=916–928|issn=0009-7322|doi=10.1161/CIRCULATIONAHA.108.844753}}</ref><ref name="ImazioBrucato2009">{{cite journal|last1=Imazio|first1=Massimo|last2=Brucato|first2=Antonio|last3=DeRosa|first3=Francesco Giuseppe|last4=Lestuzzi|first4=Chiara|last5=Bombana|first5=Enrico|last6=Scipione|first6=Federica|last7=Leuzzi|first7=Stefano|last8=Cecchi|first8=Enrico|last9=Trinchero|first9=Rita|last10=Adler|first10=Yehuda|title=Aetiological diagnosis in acute and recurrent pericarditis: when and how|journal=Journal of Cardiovascular Medicine|volume=10|issue=3|year=2009|pages=217–230|issn=1558-2027|doi=10.2459/JCM.0b013e328322f9b1}}</ref><ref name="ImazioBelli2014">{{cite journal|last1=Imazio|first1=Massimo|last2=Belli|first2=Riccardo|last3=Brucato|first3=Antonio|last4=Cemin|first4=Roberto|last5=Ferrua|first5=Stefania|last6=Beqaraj|first6=Federico|last7=Demarie|first7=Daniela|last8=Ferro|first8=Silvia|last9=Forno|first9=Davide|last10=Maestroni|first10=Silvia|last11=Cumetti|first11=Davide|last12=Varbella|first12=Ferdinando|last13=Trinchero|first13=Rita|last14=Spodick|first14=David H|last15=Adler|first15=Yehuda|title=Efficacy and safety of colchicine for treatment of multiple recurrences of pericarditis (CORP-2): a multicentre, double-blind, placebo-controlled, randomised trial|journal=The Lancet|volume=383|issue=9936|year=2014|pages=2232–2237|issn=01406736|doi=10.1016/S0140-6736(13)62709-9}}</ref>
Depending on the timing of presentation and duration, pericarditis can be classified into "acute" and "chronic" forms. Clinically, [[acute pericarditis]] presents between 6 weeks to 6 months of the disease onset; subacute pericarditis presents within 6 weeks to 6 months of the disease onset; and chronic pericarditis manifests after 6 months of the disease onset. [[Acute pericarditis]] is more common than chronic pericarditis, and often occurs as a complication of [[viral infection]]s, immunologic conditions, or as a result of a [[heart attack]] ([[myocardial infarction]]). Chronic pericarditis is less common. It may manifest as scarring of the pericardium, which is a condition known as [[constrictive pericarditis]].
**[[Acute]]
**Incessant
**Recurrent
**[[Chronic]]
 
 
 
<br />{{familytree/start}}
{{familytree | | | | | | | | | | | A01 | | | | | | | | | | | | A01='''Pericarditis classification based on duration'''}}
{{familytree | | |,|-|-|-|-|-|v|-|-|^|-|-|v|-|-|-|-|-|.| | | | }}
{{familytree | | B10 | | | | B11 | | | | B12 | | | | B13 | | | B10='''Acute:'''
New-onset disease which lasts < 4-6 weeks|B11='''Incessant:'''
Pericarditis lasting for >4–6 weeks but <3 months without remission|B12='''Recurrent:''' Recurrence after the first episode of acute pericarditis 4–6 weeks or longer interval|B13='''Chronic:''' Pericarditis lasts for >3 months}}
{{familytree/end}}
 
 
* Moreover, pericarditis can be [[Classification|classified]] based on the [[etiology]] in two groups:<ref name="Imazio2012">{{cite journal|last1=Imazio|first1=Massimo|title=Contemporary management of pericardial diseases|journal=Current Opinion in Cardiology|volume=27|issue=3|year=2012|pages=308–317|issn=0268-4705|doi=10.1097/HCO.0b013e3283524fbe}}</ref><ref name="ImazioSpodick2010">{{cite journal|last1=Imazio|first1=Massimo|last2=Spodick|first2=David H.|last3=Brucato|first3=Antonio|last4=Trinchero|first4=Rita|last5=Adler|first5=Yehuda|title=Controversial Issues in the Management of Pericardial Diseases|journal=Circulation|volume=121|issue=7|year=2010|pages=916–928|issn=0009-7322|doi=10.1161/CIRCULATIONAHA.108.844753}}</ref><ref name="ImazioBrucato2009">{{cite journal|last1=Imazio|first1=Massimo|last2=Brucato|first2=Antonio|last3=DeRosa|first3=Francesco Giuseppe|last4=Lestuzzi|first4=Chiara|last5=Bombana|first5=Enrico|last6=Scipione|first6=Federica|last7=Leuzzi|first7=Stefano|last8=Cecchi|first8=Enrico|last9=Trinchero|first9=Rita|last10=Adler|first10=Yehuda|title=Aetiological diagnosis in acute and recurrent pericarditis: when and how|journal=Journal of Cardiovascular Medicine|volume=10|issue=3|year=2009|pages=217–230|issn=1558-2027|doi=10.2459/JCM.0b013e328322f9b1}}</ref><ref name="SliwaMocumbi2009">{{cite journal|last1=Sliwa|first1=Karen|last2=Mocumbi|first2=Ana Olga|title=Forgotten cardiovascular diseases in Africa|journal=Clinical Research in Cardiology|volume=99|issue=2|year=2009|pages=65–74|issn=1861-0684|doi=10.1007/s00392-009-0094-1}}</ref>
**[[Infectious]]:
***[[Viral]]
***[[Bacterial]]
***[[Fungal]]
***[[Parasitic]]
**[[Infectious|Non-infectious:]]
***[[Autoimmune]]
***[[Neoplastic]]
***[[Metabolic]]
***[[Trauma|Traumatic]] and [[iatrogenic]]
*** Drug-related
{{familytree/start |summary=Sample 6}}
{{familytree | | | | | | | | | | | | | | | | | | | | A01 |A01='''Pericarditis classification based on etiology'''}}
{{familytree | | | | | | | | | | |,|-|-|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|-|-|-|.| | | }}
{{familytree | | | | | | | | | | B01 | | | | | | | | | | | | | | | | | | | B02 | | |B01='''Infectious causes'''|B02='''Non-infectious causes'''}}
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | |!| }}
{{familytree | | | | |,|-|-|-|v|-|^|-|v|-|-|-|.| | | |,|-|-|-|-|v|-|-|-|v|-|^|-|v|-|-|-|v|-|-|-|.| }}
{{familytree | | | | |!| | | |!| | | |!| | | |!| | | |!| | | | |!| | | |!| | | |!| | | |!| | | |!| }}
{{familytree | | | | C01 | | C02 | | C03 | | C04 | | C05 | | | C06 | | C07 | | C08 | | C09 | | C10 |C01='''Viral:'''
Enteroviruses(coxsackieviruses, echoviruses)
 
Herpes viruses(EBV, CMV, HHV-6)  
 
Adenoviruses
 
Parvovirus B19|C02='''Bacterial:'''
Mycobacterium tuberculosis
 
Coxiella burnetii
 
Borrelia burgdorferi|C03='''Fungal:'''
Histoplasma species
 
Aspergillus species
 
Blastomyces species
 
Candida species|C04='''Parasitic:'''
Echinococcus species
 
Toxoplasma species|C05='''Autoimmune:'''
Systemic autoimmune and auto-inflammatory diseases
 
Systemic vasculitides
 
Sarcoidosis
 
Familial Mediterranean fever
 
IBD
 
Still disease|C06='''Neoplastic:'''
Primary tumours (pericardial mesothelioma)
 
secondary metastatic tumors( lung and breast cancer, lymphoma)|C07='''Metabolic:'''
Uraemia
 
Myxoedema
 
Anorexia nervosa|C08='''Traumatic and Iatrogenic'''|C09='''Drug-related'''|C10='''Others:'''
Amyloidosis
 
Aortic dissection
 
Pulmonary arterial
 
Hypertension
 
Chronic heart failure
 
Congenital absence of the pericardium}}
{{familytree/end}}


==References==
==References==
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[[Category:Medicine]]
[[Category:Medicine]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Up-To-Date]]​
[[Category:Up-To-Date]]
[[Category:Primary care]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Intensive care medicine]]
[[Category:Intensive care medicine]]

Latest revision as of 23:39, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]

Overview

Pericarditis may be classified according to duration of the disease and recurrence into acute, Incessant, recurrent and chronic. Moreover, pericarditis can be classified based on the etiology in two groups of infectious and non-infectious causes.

Classification



 
 
 
 
 
 
 
 
 
 
Pericarditis classification based on duration
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Acute: New-onset disease which lasts < 4-6 weeks
 
 
 
Incessant: Pericarditis lasting for >4–6 weeks but <3 months without remission
 
 
 
Recurrent: Recurrence after the first episode of acute pericarditis 4–6 weeks or longer interval
 
 
 
Chronic: Pericarditis lasts for >3 months
 
 


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pericarditis classification based on etiology
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Infectious causes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Non-infectious causes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Viral:

Enteroviruses(coxsackieviruses, echoviruses)

Herpes viruses(EBV, CMV, HHV-6)

Adenoviruses

Parvovirus B19
 
Bacterial:

Mycobacterium tuberculosis

Coxiella burnetii

Borrelia burgdorferi
 
Fungal:

Histoplasma species

Aspergillus species

Blastomyces species

Candida species
 
Parasitic:

Echinococcus species

Toxoplasma species
 
Autoimmune:

Systemic autoimmune and auto-inflammatory diseases

Systemic vasculitides

Sarcoidosis

Familial Mediterranean fever

IBD

Still disease
 
 
Neoplastic:

Primary tumours (pericardial mesothelioma)

secondary metastatic tumors( lung and breast cancer, lymphoma)
 
Metabolic:

Uraemia

Myxoedema

Anorexia nervosa
 
Traumatic and Iatrogenic
 
Drug-related
 
Others:

Amyloidosis

Aortic dissection

Pulmonary arterial

Hypertension

Chronic heart failure

Congenital absence of the pericardium

References

  1. ↑ 1.0 1.1 Imazio, Massimo (2012). "Contemporary management of pericardial diseases". Current Opinion in Cardiology. 27 (3): 308–317. doi:10.1097/HCO.0b013e3283524fbe. ISSN 0268-4705.
  2. ↑ 2.0 2.1 Imazio, Massimo; Spodick, David H.; Brucato, Antonio; Trinchero, Rita; Adler, Yehuda (2010). "Controversial Issues in the Management of Pericardial Diseases". Circulation. 121 (7): 916–928. doi:10.1161/CIRCULATIONAHA.108.844753. ISSN 0009-7322.
  3. ↑ 3.0 3.1 Imazio, Massimo; Brucato, Antonio; DeRosa, Francesco Giuseppe; Lestuzzi, Chiara; Bombana, Enrico; Scipione, Federica; Leuzzi, Stefano; Cecchi, Enrico; Trinchero, Rita; Adler, Yehuda (2009). "Aetiological diagnosis in acute and recurrent pericarditis: when and how". Journal of Cardiovascular Medicine. 10 (3): 217–230. doi:10.2459/JCM.0b013e328322f9b1. ISSN 1558-2027.
  4. ↑ Imazio, Massimo; Belli, Riccardo; Brucato, Antonio; Cemin, Roberto; Ferrua, Stefania; Beqaraj, Federico; Demarie, Daniela; Ferro, Silvia; Forno, Davide; Maestroni, Silvia; Cumetti, Davide; Varbella, Ferdinando; Trinchero, Rita; Spodick, David H; Adler, Yehuda (2014). "Efficacy and safety of colchicine for treatment of multiple recurrences of pericarditis (CORP-2): a multicentre, double-blind, placebo-controlled, randomised trial". The Lancet. 383 (9936): 2232–2237. doi:10.1016/S0140-6736(13)62709-9. ISSN 0140-6736.
  5. ↑ Sliwa, Karen; Mocumbi, Ana Olga (2009). "Forgotten cardiovascular diseases in Africa". Clinical Research in Cardiology. 99 (2): 65–74. doi:10.1007/s00392-009-0094-1. ISSN 1861-0684.
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