Resumo
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- presença de fatores de risco
- dor torácica
- atrito pericárdico
Другие диагностические факторы
- febre
- mialgias
- sinais de insuficiência cardíaca direita
Факторы риска
- 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
Disclosures
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.
Acknowledgements
BMJ Best Practice would like to gratefully acknowledge Dr Katherine Wu MD, previous contributor to this topic.
Disclosures
KW declares that she has no competing interests.
Peer reviewers
Susan Denfield, MD
Associate Professor of Pediatrics
Division of Pediatric Cardiology
Texas Children's Hospital
Houston
TX
Disclosures
SD declares that she has no competing interests.
Shrilla Banerjee, MBMD, MRCP
Consultant Cardiologist
East Surrey Hospital
Surrey and Sussex NHS Trust
Redhill
UK
Disclosures
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.
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
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.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 (EP)
- Infarto do miocárdio ou isquemia
- Pneumonia
More DifferentialsGuidelines
- Guideline for the evaluation and diagnosis of chest pain
- Guidelines for the diagnosis and management of pericardial diseases
More GuidelinesPatient information
Pericardite
More Patient information
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