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Home > West Medicine > Internal Medicine > Cardiology
I30.900

Acute Pericarditis

心内科

Common symptoms

胸痛伴胸闷、心悸、胸痛、心包膜发炎、胸痛伴呼吸困难、心包纤维增厚、收缩期和舒张期杂音、面色苍白、肩部牵涉痛、胸闷、烦躁不安

The pathology of disease

Acute pericarditis is inflammation of the pericardium, most often idiopathic/viral, presenting with sharp pleuritic chest pain (worse supine, better sitting forward), a pericardial friction rub, and diffuse ST elevation. Treatment: high-dose NSAIDs plus colchicine to reduce recurrence; treat the underlying cause (infection/uremia/MI/trauma); monitor for pericardial effusion/tamponade; avoid anticoagulants.

Common Symptoms

Pleuritic chest pain; worse supine/better forward; pericardial rub; diffuse ST elevation; fever

Causes and Pathogenesis

Mostly idiopathic/viral inflammation of the pericardium; other causes include uremia/MI/trauma.

Treatment

NSAIDs + colchicine; treat cause; monitor effusion/tamponade; avoid anticoagulants

Preventive Measures

Colchicine reduces recurrence; treat cause.

Department to Visit

It is recommended to visit the Cardiology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.