Acute Pericarditis

作者:LeWinter Martin M*
来源:New England Journal of Medicine, 2014, 371(25): 2410-2416.
DOI:10.1056/NEJMcp1404070

摘要

A previously healthy 25-year-old man presents with pleuritic pain in the left side of the chest of 3 hours%26apos; duration, radiating to the left trapezius ridge and relieved by sitting forward. On physical examination, he appears anxious. His pulse is 104 beats per minute and regular, his blood pressure is 125/80 mm Hg without a paradoxical pulse, and his temperature is 37.8 degrees C. A three-component friction rub is auscultated along the left sternal border. An electrocardiogram (ECG) reveals ST-segment elevations in multiple leads, which are consistent with acute pericarditis. How should this case be managed?

  • 出版日期2014-12-18