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Pericarditis

Pericarditis is a topic covered in the 5-Minute Emergency Consult.

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Emergency Central

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Basics

Description

  • Inflammation, infection, or infiltration of the pericardial sac surrounding the heart:
    • Pericardial effusion may or may not be present.
  • Acute pericarditis:
    • Rapid in onset
    • Potentially complicated by cardiac tamponade from effusion
  • Constrictive pericarditis:
    • Results from chronic inflammation causing thickening and adherence of the pericardium to the heart

Etiology

  • Idiopathic (most common)
  • Viral:
    • Echovirus
    • Coxsackie
    • Adenovirus
    • Varicella
    • Epstein–Barr virus
    • Cytomegalovirus
    • Hepatitis B
    • Mumps
    • HIV
  • Bacterial:
    • Tuberculosis
    • Staphylococcus
    • Streptococcus
    • Haemophilus
    • Salmonella
    • Legionella
  • Fungal:
    • Candida
    • Aspergillus
    • Histoplasmosis
    • Coccidioidomycosis
    • Blastomycosis
    • Nocardia
  • Parasitic:
    • Amebiasis
    • Toxoplasmosis
    • Echinococcosis
  • Neoplastic:
    • Lung
    • Breast
    • Lymphoma
  • Uremia
  • Myocardial infarction:
    • Dressler syndrome
  • Connective tissue disease:
    • Systemic lupus erythematosus
    • Rheumatoid arthritis
    • Scleroderma
  • Radiation
  • Chest trauma
  • Postpericardiotomy
  • Aortic dissection
  • Myxedema
  • Pancreatitis
  • Inflammatory bowel disease
  • Amyloidosis
  • Drugs:
    • Procainamide
    • Cromolyn sodium
    • Hydralazine
    • Dantrolene
    • Isoniazid
    • Penicillins
    • Doxorubicin/daunorubicin

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Citation

Rosen, Peter, et al., editors. "Pericarditis." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307439/1.3/Pericarditis.
Pericarditis. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307439/1.3/Pericarditis. Accessed June 25, 2019.
Pericarditis. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307439/1.3/Pericarditis
Pericarditis [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 June 25]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307439/1.3/Pericarditis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Pericarditis ID - 307439 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307439/1.3/Pericarditis PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -