Acute Pericarditis

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Overview:

Inflammation of the pericardium.

Cause:

– Infection (Viral most common)
– Post MI
– Autoimmune Diseases
– Neoplasm
– Injury (trauma, surgery, radiation)

Diagnosis:

Clinical Findings:
– Sharp Pain
– Change in pain on respiration or position change
– Rub

ECG Findings:
– Scattered ST elevations (can be mistaken for multiple MI’s)
– Depressed PR interval
– Inverted T wave

Treatment:

– NSAIDS
– Colchicine
– Steroids
– Surgical Window

Important Details:

– Often mistaken for MI, however clinical presentations of change in pain on movement + inspiration, as well as ECG findings can help to distinguish.