Acute pericarditis is not uncommon in clinical practice and may occur either as isolated disease or as a manifestation of another disease (known or still unknown). The etiology is varied and complex and a clinically-oriented approach to management is possible by identifying initial presentation features of high risk (risk of complications or specific disease: fever >38°C, subacute course without acute chest pain, large pericardial effusion, cardiac tamponade, and lack of response to empiric anti-inflammatory therapy), that suggest admission and additional diagnostic evaluation. In any case, a prompt anti-inflammatory therapy at full doses till remission is warranted to prevent complicated and prolonged courses. In this paper, we will try to clarify common doubts and outline evidence-based approaches to the diagnosis, therapy and follow-up of these patients.
Snodi decisionali nella gestione clinica della pericardite : statement dell’Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO) / M. Imazio, A. Brucato, G. Di Tano, S. Urbinati, M.M. Gulizia, D. Gabrielli, A. Di Lenarda. - In: GIORNALE ITALIANO DI CARDIOLOGIA. - ISSN 1827-6806. - 19:4(2018 Apr), pp. 248-259. [10.1714/2898.29221]
Snodi decisionali nella gestione clinica della pericardite : statement dell’Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO)
A. Brucato;
2018
Abstract
Acute pericarditis is not uncommon in clinical practice and may occur either as isolated disease or as a manifestation of another disease (known or still unknown). The etiology is varied and complex and a clinically-oriented approach to management is possible by identifying initial presentation features of high risk (risk of complications or specific disease: fever >38°C, subacute course without acute chest pain, large pericardial effusion, cardiac tamponade, and lack of response to empiric anti-inflammatory therapy), that suggest admission and additional diagnostic evaluation. In any case, a prompt anti-inflammatory therapy at full doses till remission is warranted to prevent complicated and prolonged courses. In this paper, we will try to clarify common doubts and outline evidence-based approaches to the diagnosis, therapy and follow-up of these patients.File | Dimensione | Formato | |
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