Pericardite

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Última revisão das evidências: 30 Jul 2026
Última atualização do tópico: 21 Jan 2026

Resumo

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • presença de fatores de risco
  • dor torácica
  • atrito pericárdico
Полная информация

Другие диагностические факторы

  • febre
  • mialgias
Полная информация

Факторы риска

  • sexo masculino
  • idade entre 20 e 50 anos
  • infarto do miocárdio transmural
  • cirurgia cardíaca
  • neoplasia
  • infecção viral e infecção bacteriana
  • uremia ou em diálise
  • doenças autoimunes sistêmicas
  • lesão pericárdica
  • radiação do mediastino
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • eletrocardiograma (ECG)
  • troponina sérica
  • pericardiocentese
  • proteína C-reativa
  • ureia sérica e eletrólitos séricos
  • hemograma completo
  • testes da função hepática
  • radiografia torácica
  • ecocardiografia
Полная информация

Исследования, проведение которых нужно рассмотреть

  • hemoculturas
  • velocidade de hemossedimentação
  • creatina quinase
  • triagem autoimune
  • perfil viral
  • tomografia computadorizada (TC) do tórax ou ressonância nuclear magnética (RNM) cardíaca
  • biópsia pericárdica
Полная информация

Алгоритм лечения

Начальные

suspeita de pericardite

Острый

idiopático ou viral (não purulento)

não idiopática ou viral (não purulenta)

purulenta

ПРОДОЛЖЕНИЕ

doença recorrente

Составители

Эксперты-консультанты

Shrilla Banerjee, MD, FRCP

Consultant Interventional Cardiologist

East Surrey Hospital

Surrey and Sussex Healthcare NHS Trust

UK

Раскрытие информации

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).

Выражение благодарностей

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

Раскрытие информации

RB has received honoraria/speakers’ fees from Novartis and Boehringer Ingelheim. KW declares that she has no competing interests.

Рецензенты

Laura Dobson, MBChB, MD

Consultant Cardiologist

Wythenshawe Hospital

Manchester University Foundation Trust

Manchester

UK

Раскрытие информации

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.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

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

Статьи, указанные как источники

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