Summary
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
- dor torácica
- atrito pericárdico
Other diagnostic factors
- febre
- mialgias
- sinais de insuficiência cardíaca direita
Risk factors
- sexo masculino
- idade entre 20 e 50 anos
- infarto agudo do miocárdio (IAM) transmural
- cirurgia cardíaca
- neoplasia
- infecção viral e infecção bacteriana
- uremia ou em diálise
- doenças autoimunes sistêmicas
- lesão pericárdica
- radiação do mediastino
Диагностические исследования
Исследования, которые показаны в первую очередь
- eletrocardiograma (ECG)
- troponina sérica
- líquido pericárdico/hemocultura
- Velocidade de hemossedimentação (VHS)
- proteína C-reativa
- ureia sérica
- Hemograma completo
- radiografia torácica
- ecocardiografia
Исследования, проведение которых нужно рассмотреть
- tomografia computadorizada (TC) do tórax ou ressonância nuclear magnética (RNM) cardíaca
- pericardiocentese/biópsia
Алгоритм лечения
na apresentação inicial
tamponamento ou derrame sintomático
purulenta
não purulenta
doença recorrente
Составители
Авторы
Antonio Abbate, MD, PhD
Professor of Cardiology
Division of Cardiovascular Medicine
University of Virginia
Charlottesville
VA
Раскрытие информации
AA has received grant support and consultant fees from Applied Clinical Intel, Astra Zeneca, Cromos Pharma, Eli Lilly, Implicit Biosciences, Janssen, Kiniksa, Merck, Novartis, Novo Nordisk, Olatec, R-Pharm, and Serpin Pharma.
Выражение благодарностей
BMJ Best Practice would like to gratefully acknowledge Dr Katherine Wu MD, previous contributor to this topic.
Раскрытие информации
KW declares that she has no competing interests.
Рецензенты
Susan Denfield, MD
Associate Professor of Pediatrics
Division of Pediatric Cardiology
Texas Children's Hospital
Houston
TX
Раскрытие информации
SD declares that she has no competing interests.
Shrilla Banerjee, MBMD, MRCP
Consultant Cardiologist
East Surrey Hospital
Surrey and Sussex NHS Trust
Redhill
UK
Раскрытие информации
SB 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.
Список литературы
Основные статьи
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.Полный текст Аннотация
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.Полный текст Аннотация
Gulati M, Levy PD, Mukherjee D, et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the evaluation and diagnosis of chest pain: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. Circulation. 2021 Nov 30;144(22):e368-e454.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Embolia pulmonar (EP)
- Infarto do miocárdio ou isquemia
- Pneumonia
Больше ОтличияРекомендации
- Guideline for the evaluation and diagnosis of chest pain
- Guidelines for the diagnosis and management of pericardial diseases
Больше Рекомендации患者教育信息
Pericardite
更多 患者教育信息
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