What medication is contraindicated in pericarditis?
Although the evidence of potential harm from glucocorticoids and NSAIDs other than aspirin is modest, there is no evidence that these medications improve outcomes. For these reasons, glucocorticoids and NSAIDs other than aspirin should generally be AVOIDED in patients with acute pericarditis following an acute MI.
What are the potential risk factors for pericarditis?
Pericarditis causes & risk factors
- A past heart attack.
- Autoimmune diseases.
- Trauma or injury from an accident.
- Certain bacterial, viral and fungal infections.
- Kidney failure.
- Rarely, certain medications such as phenytoin to treat seizures and procainamide to treat irregular heartbeats.
What is the best way to diagnose pericarditis?
How is pericarditis diagnosed?
- Chest X-ray to see the size of your heart and any fluid in your lungs.
- Electrocardiogram (ECG or EKG) to look for changes in your heart rhythm.
- Echocardiogram (echo) to see how well your heart is working and check for fluid or pericardial effusion around the heart.
Can pericarditis cause night sweats?
The most common symptom of pericarditis is chest pain with fever, night sweats, and weight loss as common symptoms [1,50].
What is the best anti inflammatory for pericarditis?
Aspirin or NSAIDs are recommended as first-line therapy for acute pericarditis with gastroprotection. Colchicine is recommended as first-line therapy for acute pericarditis as an adjunct to aspirin/NSAID therapy. Serum CRP should be considered to guide the treatment length and assess the response to therapy.
What viral infection causes pericarditis?
The following viral infections can lead to pericarditis: Usual viral and cold meningitis caused by a group of viruses (enteroviruses) Glandular fever. Pneumonia and bronchitis caused by adenoviruses.
What triggers pericarditis?
Pericarditis may be caused by infection, autoimmune disorders, inflammation after a heart attack, chest injury, cancer, HIV/AIDS, tuberculosis (TB), kidney failure, medical treatments (such as certain medicines or radiation therapy to the chest), or heart surgery.
How long can you live with pericarditis?
Long-term survival after pericardiectomy depends on the underlying cause. Of common causes, idiopathic constrictive pericarditis has the best prognosis (88% survival at 7 years), followed by constriction due to cardiac surgery (66% at 7 years).
Does pericarditis hurt all the time?
The most common symptom of pericarditis is chest pain. This may develop suddenly and be experienced as a sharp, stabbing sensation behind the breastbone on the left side of the body. However, for some people there may be a constant, steady pain, or more of a dull ache or feeling of pressure.
Can emotional stress cause pericarditis?
Stress cardiomyopathy (CMP) has been described as a complication of post-myocardial infarction pericarditis (Dressler syndrome). Stress CMP can also be complicated by pericarditis.