Acute and Recurrent Pericarditis

作者：Imazio Massimo^*; Gaita Fiorenzo

来源：Cardiology Clinics, 2017, 35(4): 505-+.

DOI：10.1016/j.ccl.2017.07.004

• Pericarditis
• Diagnosis
• Therapy
• Prognosis

Acute and recurrent pericarditis are the most common pericardial syndromes encountered in clinical practice either as an isolated process or as part of a systemic disease. The diagnosis is based on clinical evaluation, electrocardiogram, and echocardiography. The empiric therapy is based on nonsteroidal anti-inflammatory drugs plus colchicine as first choice, resorting to corticosteroids for specific indications (eg, systemic inflammatory disease on corticosteroids, pregnancy, renal failure, or concomitant oral anticoagulants), for contraindications, or failure of the first-line therapy. The most common complication is recurrence, occurring in up to 30% of cases after a first episode of pericarditis.

• 出版日期2017-11