Management of pericarditis

  • Ombretta Para | ombretta.para@gmail.com Internal Medicine Department, Careggi University Hospital, Firenze, Italy.
  • Eleonora Blasi Internal Medicine Department, Careggi University Hospital, Firenze, Italy.
  • Martina Finocchi Internal Medicine Department, Careggi University Hospital, Firenze, Italy.
  • Tiziana Ciarambino Department of Internal Medicine, Marcianise (CE), Italy.
  • Chiara Florenzi Internal Medicine Department, Careggi University Hospital, Firenze, Italy.
  • Davide Carrara Department of Internal Medicine, Versilia Hospital, Lido di Camaiore (LU), Italy.
  • Elisabetta Benetti Emergency Deparment, Ospedale dell’Angelo, Mestre (VE), Italy.
  • Mariella Frualdo Emergency Deparment, Molinette Hospital, Torino, Italy.
  • Antonio Brucato Department of Biomedical and Clinical Science, University of Study, Fatebenefratelli Hospital, Milano, Italy.

Abstract

Pericarditis is an inflammatory syndrome involving pericardium, which is a double-walled sac consisting of two leaves, a serous visceral layer in contact with the myocardium (pericardium) and a parietal fibrous one, delimiting a cavity (pericardial cavity) containing pericardial fluid. Pericarditis may occur isolated or as a manifestation of a systemic disorder. Diagnosis and correct management of pericarditis can be difficult and its natural history is often characterized by a lot of relapses. Treatment of acute pericarditis should target the underlying etiology. The diagnosis is based on characteristic clinical findings, electrocardiogram, and echocardiography. The goals of treatment are relief of pain, resolution of inflammation (and, if present, pericardial effusion), and prevention of recurrence. Despite a significant impairment of the quality of life, pericarditis usually has good long-term outcomes.

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Published
2019-09-06
Section
Reviews
Keywords:
Etiology, diagnosis, prognosis, therapy, pericarditis.
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How to Cite
Para, O., Blasi, E., Finocchi, M., Ciarambino, T., Florenzi, C., Carrara, D., Benetti, E., Frualdo, M., & Brucato, A. (2019). Management of pericarditis. Italian Journal of Medicine, 13(3), 161-168. https://doi.org/10.4081/itjm.2019.1153

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