Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • chest pain
  • pericardial rub

Other diagnostic factors

  • fever
  • myalgias
  • signs of right-sided heart failure

Risk factors

  • male gender
  • age 20 to 50 years
  • transmural MI
  • cardiac surgery
  • neoplasm
  • viral and bacterial infections
  • uremia or on dialysis
  • systemic autoimmune disorders
  • pericardial injury
  • mediastinal radiation

Diagnostic investigations

1st investigations to order

  • ECG
  • serum troponin
  • pericardial fluid/blood culture
  • ESR
  • CRP
  • serum BUN
  • CBC
  • chest x-ray
  • echocardiography
Full details

Investigations to consider

  • chest CT or cardiac MRI
  • pericardiocentesis/biopsy
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Assistant Professor of Medicine

Division of Cardiology

Johns Hopkins Medical Institutions

Baltimore

MD

Disclosures

KW declares that she has no competing interests.

Peer reviewers VIEW ALL

Associate Professor of Medicine

Cardiovascular Division

University of PA Medical Center

Philadelphia

PA

Disclosures

VF declares that he has no competing interests.

Consultant Cardiologist

East Surrey Hospital

Surrey and Sussex NHS Trust

Redhill

UK

Disclosures

SB declares that she has no competing interests.

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