Pericarditis, Pericardial Effusions, Cardiac
tamponade
1. what is acute inflammatory pericarditis?: inflammation of the pericardium
2. who is acute inflammatory pericarditis MC seen in?: males <50 yo
3. what causes acute pericarditis?: idiopathic or viral infection
4. what viruses cause acute inflammatory pericarditis?: coxackie B COVID
adenovirus
5. what are signs/sx of acute inflammatory pericarditis?: cp- substernal ratiates to trap, postural,
pleuritic & sharp
fevers
dyspnea
6. what is seen on exam for acute inflammatory pericarditis?: pericardial friction rub
7. how does pericarditis appear on EKG?: diffuse ST elevation in all leads ST elevation is
concave (smiley face)
PR segment depressed
8. how is acute inflammatory pericarditis diagnosed?: CBC- leukocytosis ESR & CRP
elevated
Cardiac enzymes slightly elevated EKG
CXR- often normal
ECHO- normal or pericardial thickening
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6
, Pericarditis, Pericardial Effusions, Cardiac
tamponade
9. how is acute pericarditis treated?: activity restriction treat
underlying cause
ASA (+H2 blocker or PPI to protect against ulcers)
10.how is bacterial pericarditis treated?: antibiotics
11.what is dressler syndrome?: post MI or post cardiotomy acute pericarditis
12.how is dressler syndrome treated?: ASA or colchicine
13.what is second line tx for refractory pericarditis?: colchicine
14.what is incessant pericarditis?: lasts >6 weeks but <3 months
15.what is recurrent pericarditis?: 5 week stop in sx, then return
16.what is chronic pericarditis?: > 3 mo
17.what are complications of pericarditis?: recurrence cardiac
tamponade
AE of meds
18.what is constrictive pericarditis?: result of chronic pericarditis -> scarring and loss of normal
elasticity of pericardial sac
thickened, fibrotic, calcified precardium that restricts ventricular filling
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6
tamponade
1. what is acute inflammatory pericarditis?: inflammation of the pericardium
2. who is acute inflammatory pericarditis MC seen in?: males <50 yo
3. what causes acute pericarditis?: idiopathic or viral infection
4. what viruses cause acute inflammatory pericarditis?: coxackie B COVID
adenovirus
5. what are signs/sx of acute inflammatory pericarditis?: cp- substernal ratiates to trap, postural,
pleuritic & sharp
fevers
dyspnea
6. what is seen on exam for acute inflammatory pericarditis?: pericardial friction rub
7. how does pericarditis appear on EKG?: diffuse ST elevation in all leads ST elevation is
concave (smiley face)
PR segment depressed
8. how is acute inflammatory pericarditis diagnosed?: CBC- leukocytosis ESR & CRP
elevated
Cardiac enzymes slightly elevated EKG
CXR- often normal
ECHO- normal or pericardial thickening
1/
6
, Pericarditis, Pericardial Effusions, Cardiac
tamponade
9. how is acute pericarditis treated?: activity restriction treat
underlying cause
ASA (+H2 blocker or PPI to protect against ulcers)
10.how is bacterial pericarditis treated?: antibiotics
11.what is dressler syndrome?: post MI or post cardiotomy acute pericarditis
12.how is dressler syndrome treated?: ASA or colchicine
13.what is second line tx for refractory pericarditis?: colchicine
14.what is incessant pericarditis?: lasts >6 weeks but <3 months
15.what is recurrent pericarditis?: 5 week stop in sx, then return
16.what is chronic pericarditis?: > 3 mo
17.what are complications of pericarditis?: recurrence cardiac
tamponade
AE of meds
18.what is constrictive pericarditis?: result of chronic pericarditis -> scarring and loss of normal
elasticity of pericardial sac
thickened, fibrotic, calcified precardium that restricts ventricular filling
2/
6
