Summary
Definition
History and exam
Key diagnostic factors
- presencia de factores de riesgo
- dolor torácico
- roce pericárdico
Other diagnostic factors
- fiebre
- mialgias
Risk factors
- sexo masculino
- 20 a 50 años de edad
- Infarto transmural de miocardio
- cirugía cardíaca
- neoplasia
- infecciones virales y bacterianas
- uremia o en diálisis
- enfermedades autoinmunes sistémicas
- lesión pericárdica
- radiación mediastínica
Diagnostic tests
1st tests to order
- electrocardiograma (ECG)
- troponina sérica
- pericardiocentesis
- proteína C-reactiva
- urea sérica y electrolitos
- hemograma completo
- pruebas de función hepática
- radiografía de tórax
- ecocardiografía
Tests to consider
- hemocultivos
- velocidad de sedimentación globular
- creatina-cinasa
- cribado autoinmune
- pantalla viral
- tomografía computarizada (TC) de tórax o resonancia magnética (IRM) cardíaca
- biopsia pericárdica
Treatment algorithm
sospecha de pericarditis
idiopática o viral (no purulenta)
no idiopática ni viral (no purulenta)
purulenta
enfermedad recurrente
Contributors
Expert advisers
Shrilla Banerjee, MD, FRCP
Consultant Interventional Cardiologist
East Surrey Hospital
Surrey and Sussex Healthcare NHS Trust
UK
Disclosures
SB has received speaker fees for educational lectures (presentation content was her own) and meeting participation from Menarini, Edwards Lifesciences, Abbott Vascular, and Shockwave IVL. She has also participated in an Advisory Board for Sahajanand Medical Technologies Limited. SB has received travel sponsorship from Biosensors International to attend the PCR meeting in Paris in 2022. She has prepared a manuscript on coronary microvascular dysfunction for Abbott for Cardiovascular News (no royalties).
Acknowledgements
BMJ Best Practice would like to gratefully acknowledge the previous expert contributors, whose work has been retained in parts of the content:
Resham Baruah MBBS, BSc MRCP, PhD
Consultant Cardiologist
Chelsea and Westminster Hospital NHS Foundation Trust
Royal Brompton & Harefield NHS Foundation Trust
London
UK
Katherine Wu MD
Associate Professor of Medicine
Division of Cardiology
Johns Hopkins Medical Institutions
Baltimore
MD
Disclosures
RB has received honoraria/speakers’ fees from Novartis and Boehringer Ingelheim. KW declares that she has no competing interests.
Peer reviewers
Laura Dobson, MBChB, MD
Consultant Cardiologist
Wythenshawe Hospital
Manchester University Foundation Trust
Manchester
UK
Disclosures
LD declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Adler Y, Charron P, Imazio M, et al. 2015 ESC guidelines for the diagnosis and management of pericardial diseases. Eur Heart J. 2015 Nov 7;36(42):2921-64.Full text Abstract
Chiabrando JG, Bonaventura A, Vecchié A, et al. Management of acute and recurrent pericarditis: JACC state-of-the-art review. J Am Coll Cardiol. 2020 Jan 7;75(1):76-92.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Embolia pulmonar
- Infarto de miocardio o isquemia
- Neumonía
More DifferentialsGuidelines
- 2015 ESC guidelines for the diagnosis and management of pericardial diseases
- Clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease
More GuidelinesPatient information
Pericarditis
More Patient information
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