Pericarditis Flashcards Preview

Cardiovascular Diseases > Pericarditis > Flashcards

Flashcards in Pericarditis Deck (10):
1

what is it

inflammation of pericardium
often occurs with myocarditis

2

what are symptoms

sharp, central chest pain - exacerbated by movement, respiration and lying down
relieved by sitting forward
may be referred to neck or shoulders
fever
fatigue
nausea

3

what are signs

pericardial rub (best heard with diaphragm at lower left sternal edge at end of expiration with patient leaning forward)

4

what are causes

ECHO virus
bacteria (extension from elsewhere - pneumonia)
fungi - post transplant
TB (caseous material in sac)

5

how is it diagnosed

symptoms
auscultation
ECG
CXR, echo

6

what does it look like on ECG

concave upwards (saddle shaped) ST elevation
must be differentiated from MI

7

how is it treated

bed rest
analgesia
oral NSAIDs

8

what are complications

cardiac tamponade

9

what is signs of this complication

raised JVP, hypotension, muffled heart sounds, pulsus paradoxus

10

what is treatment of this complication

pericardiocentisis if not resolved itself