Diseases of the pericardium: Difference between revisions

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'''For patient information click [[Diseases of the pericardium (patient information)|here]]'''
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'''Associate Editor-In-Chief:''' {{CZ}}


==[[Diseases of the pericardium overview | Overview]]==
==[[Diseases of the pericardium overview | Overview]]==
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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]]).
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]]).


==Natural History==
Most cases of acute idiopathic pericarditis resolve without complications or recurrence.
Complications may include:
* [[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 ==  
== Diagnosis ==  
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===[[A surgical subxiphoid incision to create a pericardial window]]===
===[[A surgical subxiphoid incision to create a pericardial window]]===
===[[Pericardial Stripping for Constrictive Pericarditis]]===


===[[Treatment Related Videos]]===
===[[Treatment Related Videos]]===

Revision as of 12:34, 26 July 2011

Diseases of the pericardium
Mesothelial cyst of the pericardium. Note the rounded mass in the right costophrenic angle (arrow).
Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology
ICD-10 I01.0, I09.2, I30-I32
ICD-9 420.90
DiseasesDB 9820
MedlinePlus 000182
eMedicine med/1781  emerg/412
MeSH C14.280.720


Overview

Pathophysiology & Etiology

Overview | Pericarditis causes

Differential Diagnosis for Diseases of the Pericardium

Pericarditis differential diagnosis | Acute Pericarditis | Chronic Pericarditis

Clinical presentation

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.

The classic sign of pericarditis is a friction rub. Other signs include ST-elevation and PR-depression on EKG (all leads); cardiac tamponade (pulsus paradoxus with hypotension), and congestive heart failure (elevated jugular venous pressure with peripheral edema).


Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings

Treatment

Pharmacotherapies

Surgical and Device Based Therapies

Pericardiocentesis

A thoracoscopic approach to creating a pericardial window

A surgical subxiphoid incision to create a pericardial window

Treatment Related Videos

Complications

Case Examples

Case #1

See Also

Suggested Links and Web Resources


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