Acute pericarditis (at least two of four criteria)
New/increasing pericardial effusion (60–80% of cases) seen on imaging
ECG changes with widespread (non-regional) ST-segment elevati...
1 week to check response to treatment, CBC, CRP
Those with clinical predictors of poor prognosis may require closer follow-up based on lab data and echocardiograph...
I31.9 Disease of pericardium, unspecified
I30.9 Acute pericarditis, unspecified
I30.1 Infective pericarditis
I31.1 Chronic constrictive pericarditis
I31.0 Chronic adhesive pericarditis
323...
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Figure 138.1. Electrocardiogram of a 35-year-old man with acute pericarditis. Note the diffuse, concave-upward ST-segment elevation.
Constrictive pericarditis. The heart is encased in a fibrotic, thickened, and adherent pericardium.
<bold>Fig CA 20-1 Infectious pericarditis.</bold> Globular enlargement of the cardiac silhouette reflects a combination of pericarditis and pericardial effusion in a patient with coxsackievirus infection. There are small pleural effusions bilaterally.
<bold>Fig CA 20-1 Infectious pericarditis.</bold> Globular enlargement of the cardiac silhouette reflects a combination of per...
<bold>FIGURE 26-2</bold> Fibrinous pericarditis. The heart of a patient who died in uremia displays a shaggy, fibrinous exudate covering the visceral pericardium.
<bold>FIGURE 26-2</bold> Fibrinous pericarditis. The heart of a patient who died in uremia displays a shaggy, fibrinous exudat...
Aspirating pericardial fluid In pericardiocentesis, a needle and syringe are inserted through the chest wall into the pericardial sac (as shown below). Electrocardiographic (ECG) monitoring, with a leadwire attached to the needle and electrodes placed on the limbs (right arm [RA], left arm [LA], and left leg [LL]), helps ensure proper needle placement and avoids damage to the heart.
Aspirating pericardial fluid In pericardiocentesis, a needle and syringe are inserted through the chest wall into the pericardial sac (as s...