Inflammation of pericardium.
Causes
- • Viral (Coxsackie, echovirus)
- • Post-MI (Dressler)
- • Uraemia
- • Autoimmune
- • TB, malignancy
- • Post-cardiac surgery
Clinical features
- • Sharp pleuritic chest pain worse supine, better sitting forward
- • Radiation to trapezius
Examination
- • Pericardial friction rub
Investigations
- • ECG: diffuse concave ST↑ + PR depression
- • Echo (effusion)
- • Troponin (myopericarditis if raised)
- • CRP, CBC, U&E, TFT
Management
- • Ibuprofen 600 mg TDS × 1-2 wk + PPI
- • Colchicine 0.5 mg BD (0.5 mg OD if <70 kg) × 3 months
- • Restrict exercise ≥3 months
- • Treat cause
Complications
- • Cardiac tamponade
- • Recurrent pericarditis
- • Constrictive pericarditis
References
- • ESC 2015 Pericardial
Related in WardRound
Educational — verify locally.
