STEP2: CARDS MYOPERICARDIAL DISEASE

Question 1

What are some major causes of acute pericarditis?

Answer 1

Viral, autoimmune (ie SLE), Uremia, Post-MI

Question 2

How do we treat/manage acute pericarditis likely due to viral infection?

Answer 2

NSAIDs and Colchicine

Question 3

What viruses are associated with viral myocarditis?

Answer 3

coxsackie, parvo B19, HHV6, adeno, influenza, HIV, and covid 19

Question 4

Peri-infarction pericarditis tends to occur in what time frame following an MI?

Answer 4

<4 days, presents with pericardial friction rub, and ECG w/diffuse ST elevations, and often a pericardial effusion

Question 5

Pleuritic chest pain that decreases with sitting up is pathonemonic for

Answer 5

pericarditis

Question 6

Becks triad

Answer 6

hypotension, distended neck veins, and muffled heart sounds –> CARDIAC TAMPONADE

Question 7

Etiology of constrictive pericarditis

Answer 7

recurrent pericarditis, cardiac surgery or radiation therapy, tuberculous pericarditis

Question 8

How does constrictive pericarditis lead to right sided heart failure?

Answer 8

The inelastic pericardium restricts venous return to the right side of the heart leading to right sided heart failure.

Question 9

ECG of constrictive pericarditis

Answer 9

low voltage QRS complexes