you will know What is pericarditis What cause pericarditis What are the symptoms of pericarditis DDx How to diagnose it Treatment

1. PERICARDITIS
PREPARED BY: SULTAN MUJIB DABIRY
2017

2. AIMS:
• What is pericarditis
• What cause pericarditis
• What are the symptoms of pericarditis
• DDx
• How to diagnose it
• Treatment

3. PERICARDITIS
• Pericarditis is inflammation of the pericardium
• What is pericardium: it is a fluid filled sac like membrane surrounding the heart.
• There are three main types of pericarditis:
• Acute: symptoms less than three months
• Recurring: repeated episode of acute pericarditis.. Problem with the body’s immune
play important role in recurring pericarditis.
• Chronic: symptoms longer than three months.. Problem with the body’s immune play
important role in chronic pericarditis.

4. WHY IT HAPPENS?(CAUSES)
• Why it happens?
• The general cause of pericarditis is not identified, however an infection is thought to
be responsible.
• In injuries
• In some treatments like radiotherapy or chemotherapy

5. WHAT ARE THE SYMPTOMS OF PERICARDITIS?
• The main symptom of pericarditis is chest pain, this pain can be a
sudden, sharp and stabbing pain.
• The pain can be felt behind your breastbone or more of a dull ache.
• The pain will become worse during lying down or breathing in and
better when sitting up.

6. DDX (DIFFERENTIAL DIAGNOSIS)
• Acute gastritis
• Angina pectoris
• Costochondritis
• Esophagitis
• Peptic ulcer disease

7. HOW TO DIAGNOSE IT?
• Characteristic clinical findings in pericarditis include pleuritic chest pain
and a pericardial friction rub on auscultation of the left lower sternal
border. Electrocardiography may reveal diffuse PR depressions and
diffuse ST segment elevations with upward concavity. The most
common aetiologies of pericarditis are idiopathic and viral, and the
most common treatment for these is nonsteroidal anti- inflammatory
drugs and colchicine. The complications of pericarditis include effusion,
tamponade and myopericarditis. Pericardial effusion may present as a
globular heart shadow on chest X-ray. The presence of effusion,
constriction or tamponade can be confirmed on echocardiography.
Tamponade is potentially life threatening and is diagnosed by the
clinical findings of decreased blood pressure, elevated jugular venous
pressure, muffled heart sounds on auscultation and pulsus paradoxus.

8. TREATMENT
• Acute pericarditis can usually be treated with medication to reduce swelling, such
us NSAIDs(non-steroidal anti-inflammatory drugs)
• Recurring pericarditis treats with medication such us Colchicine to prevent its
symptom returning.
• Treatment for chronic pericarditis will depend on the underlying cause, some
cases respond well to medications, while others may require surgery.

9. THANKS FOR YOUR ATTENTION