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Pericardial Disease

Pericardial Disease is an inflammation of the layers of the pericardium of the heart. The Pericardium is the thin tissue sac that surrounds the heart. There are multiple components within this sac that are impacted by this disease, including the visceral pericardium, the middle fluid layer between the layers of the heart, and the parietal pericardium, which is the muscle layer of the heart.

There are various potential causes for pericardial disease, and it can come on quite suddenly in some cases. Pericardial disease can also be chronic rather than acute.

Symptoms

The most common symptoms of pericardial disease are:

  • Chest pain which is located in the centre of the chest. The pain can radiate to the neck and the shoulders. It might also be felt in the back or the arms. This pain is typically improved by sitting forward and is worse when lying down, coughing, or swallowing.
  • Low-grade fever
  • Increased heart rate

Causes & Risk Factors

The cause of pericarditis is not known. However, it is often linked with viral infections in the body. Pericarditis can also occur after a respiratory or digestive system infection. Recurrent pericarditis is thought to be linked with autoimmune disorders like lupus and rheumatoid arthritis.

The risk factors for pericarditis are:

  • A past heart attack
  • A previous heart surgery
  • Having an autoimmune disease
  • Tumours in the body
  • Having HIV/AIDS
  • Having kidney failure
  • Bacterial, fungal, or viral infections in the body
  • Trauma to the body from an accident or injury

Additionally, men aged 16 to 65 are more likely to get pericarditis than other groups. Many people who are diagnosed with and treated for pericarditis will experience the condition again.

Diagnosis

Diagnosis for this condition is based on a physical exam and patient-reported symptoms. If your doctor believes that the symptoms could be related to pericarditis, there will be additional tests that are ordered.

  • EKG or ECG, which is used to get a view of the movement of the heart
  • Cardiac MRI to take a clear picture of all of the structures of the heart
  • Echocardiogram, which uses ultrasound waves to produce a visual display of the heart

Treatment & Prevention

Acute pericarditis cannot be prevented. You can, however, seek treatment right away to help ensure that you do not suffer from chronic pericarditis in the future. Pericarditis often goes away on its own, but when it is not treated promptly, there can be damage to your heart that can be impossible to reverse.

Treatment of pericarditis is done through the use of NSAIDs (nonsteroidal anti-inflammatory agents) to help decrease pain and manage inflammation in the heart. Steroids might be used for severe attacks to manage any swelling in the heart. Antibiotics will be used to treat your pericarditis if it has been caused by an infection in your body. Colchicine can also be given to those who suffer from chronic pericarditis to help manage their symptoms.

Pericarditis typically resolves in about two to four weeks, but for chronic sufferers, it may continue to reoccur.

 
 
 

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