Flashcards in Pericarditis Deck (9):
Friction rub best heard where?
Left sternal border
Cause of acute pericarditis?
2. Vasculitis (autoimmune, postradiation)
3. Immunologic (Dressler)
6. Neoplasms (breast, lung, lymphoma)
Classic description of pericarditis garnered from hx?
1. Substernal chest pain
2. worsens with inspiration and recumbency
3. radiates to trapezius ridge
4. improved by sitting and leaning forward
EKG findings in acute pericarditis?
1. Diffuse ST segment elevation
2. PR segment depression
3. Opposite findings to above in aVR and V1
Why is it important to distinguish between an MI and pericarditis?
Thrombolytics is treatment for infarction but could cause pericardial hemorrhage and cardiac tamponade if patient has pericarditis
EKG findings seen in MI but not in pericarditis?
1. ST segment depression in other leads
2. Loss of R wave amplitude
3. Q waves
Symptomatic differences of pain between MI and pericarditis?
MI – gradual onset with crescendo pattern, pressure-type pain, pain does not vary with inspiration, pain relieved with nitrates
Pericarditis – sharp pain, varies with respiration
Treatment of acute pericarditis?
NSAIDs, Colchicine, steroids