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Showing posts with label Acute pericarditis. Show all posts
Showing posts with label Acute pericarditis. Show all posts

What do you know about the transient constrictive phase of acute pericarditis ?

What do you know about the transient constrictive phase of acute pericarditis ? 

About 10% of the patients with acute pericarditis have a transient constrictive phase which may last 2-3 months before it gradually resolves, either spontaneously or with treatment with anti-inflammatory drugs.

These patients usually have a mod-erate amount of pericardial effusion and, as the effusion resolves, the pericardium remains thickened, inflamed and non-compliant resulting in constrictive haemo-dynamics.

Clinical features include shortness of breath, raised jugular venous pressure, peripheral oedema and ascites.

Constrictive haemodynamics can be documented by Doppler echocardiography and resolution of constrictive physiology can be serially followed by this technique.
What do you know about the transient constrictive phase of acute pericarditis ? 

About 10% of the patients with acute pericarditis have a transient constrictive phase which may last 2-3 months before it gradually resolves, either spontaneously or with treatment with anti-inflammatory drugs.

These patients usually have a mod-erate amount of pericardial effusion and, as the effusion resolves, the pericardium remains thickened, inflamed and non-compliant resulting in constrictive haemo-dynamics.

Clinical features include shortness of breath, raised jugular venous pressure, peripheral oedema and ascites.

Constrictive haemodynamics can be documented by Doppler echocardiography and resolution of constrictive physiology can be serially followed by this technique.

What is the treatment for acute pericarditis ?

What is the treatment for acute pericarditis ? 

• Pain relief (codeine) and anti-inflammatory agents (non-steroidal anti-inflammatory drugs (NSAIDs) such as indometacin).

 • Steroids should be considered only when the pain does not respond to a com-bination of NSAIDs.

 • Treatment of the underlying cause. 

• Colchicine has been used to treat recurrent pain of pericarditis, and rarely peri-cardiectomy may be required for pain even in the setting of no haemodynamic impairment.
What is the treatment for acute pericarditis ? 

• Pain relief (codeine) and anti-inflammatory agents (non-steroidal anti-inflammatory drugs (NSAIDs) such as indometacin).

 • Steroids should be considered only when the pain does not respond to a com-bination of NSAIDs.

 • Treatment of the underlying cause. 

• Colchicine has been used to treat recurrent pain of pericarditis, and rarely peri-cardiectomy may be required for pain even in the setting of no haemodynamic impairment.

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