Abstract
Pericardial disease may present as an isolated condition or as a manifestation of systemic illness. Recognition of the clinical signs and symptoms of pericardial disorders in the primary care setting is critical for appropriate, and potentially lifesaving, triage and management. This chapter considers acute pericarditis and its potential complications relevant to the primary care provider: recurrent pericarditis, pericardial effusion, and constrictive pericarditis.
Keywords
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Moore KL, Dalley AF, Agur AMR. Clinically oriented anatomy. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2014. p. 128–34.
Spodick DH. The pericardium: a comprehensive textbook. New York: Marcel Dekker; 1997. p. 7.
Applegate RJ, Johnston WE, Vinten-Johansen J, Klopfenstein HS, Little WC. Restraining effect of intact pericardium during acute volume loading. Am J Phys. 1992;262:H1725–33.
Abbas AE, Appleton CP, Liu PT, Sweeney JP. Congenital absence of the pericardium: case presentation and review of literature. Int J Cardiol. 2005;98:21–5.
Little WC, Freeman GL. Pericardial disease. Circulation. 2006;113:1622–32.
LeWinter MM. Acute pericarditis. N Engl J Med. 2014;371:2410–6.
Adler Y, Charron P, Imazio M, et al. 2015 ESC guidelines for the diagnosis and management of pericardial diseases. Eur Heart J. 2015;6:2921–64.
Imazio M, Gaita F, LeWinter M. Evaluation and treatment of pericarditis. JAMA. 2015;314:1498–9.
Voskuyl AE. The heart and cardiovascular manifestations in rheumatoid arthritis. Rheumatology. 2006;45(Suppl 4):iv4–7.
Doria A, Petri M. Cardiac involvement in systemic lupus erythematosus. In: Doria A, Pauletto P, editors. The heart in systemic autoimmune disease. Amsterdam: Elsevier; 2004. p. 146–62.
Seferovic PM, Ristic AD, Maksimovic R, et al. Pericardial syndromes: an update after the ESC 2004 guidelines. Heart Fail Rev. 2013;18:255–66.
Spodick DH. Pericardial rub. Prospective, multiple observer investigation of pericardial friction in 100 patients. Am J Cardiol. 1975;35:357–62.
Wang K, Asinger RW, Marriott HJ. ST-segment elevation in conditions other than acute myocardial infarction. N Engl J Med. 2003;349:2128–35.
Spodick DH. Diagnostic electrocardiographic sequences in acute pericarditis. Significance of PR segment and PR vector changes. Circulation. 1973;48:575–80.
Spodick DH. Electrocardiogram in acute pericarditis. Distributions of morphologic and axial changes by stages. Am J Cardiol. 1974;33:470–4.
Ginzton LE, Laks MM. The differential diagnosis of acute pericarditis from the normal variant: new electrocardiographic criteria. Circulation. 1982;65:1004–9.
Bonnefoy E, Godon P, Kirkorian G, Fatemi M, Chevalier P, Touboul P. Serum cardiac troponin I and ST-segment elevation in patients with acute pericarditis. Eur Heart J. 2000;21:832–6.
Brandt RR, Filzmaier K, Hanrath P. Circulating cardiac troponin I in acute pericarditis. Am J Cardiol. 2001;87:1326–8.
Imazio M, Brucato A, Barbieri A, et al. Good prognosis for pericarditis with and without myocardial involvement: results from a multicenter, prospective cohort study. Circulation. 2013;128:42–9.
Imazio M, Demichelis B, Cecchi E, et al. Cardiac troponin I in acute pericarditis. J Am Coll Cardiol. 2003;42:2144–8.
Imazio M, Demichelis B, Parrini I, et al. Day-hospital treatment of acute pericarditis: a management program for outpatient therapy. J Am Coll Cardiol. 2004;43:1042–6.
Spodick DH. Risk prediction in pericarditis: who to keep in hospital? Heart. 2008;94:398–9.
Arunasalam S, Siegel RJ. Rapid resolution of symptomatic acute pericarditis with ketorolac tromethamine: a parenteral nonsteroidal antiinflammatory agent. Am Heart J. 1993;125:1455–8.
Imazio M, Brucato A, Cemin R, et al. A randomized trial of colchicine for acute pericarditis. N Engl J Med. 2013;369:1522–8.
Lilly LS. Treatment of acute and recurrent idiopathic pericarditis. Circulation. 2013;127:1723–6.
Imazio M, Bobbio M, Cecchi E, et al. Colchicine in addition to conventional therapy for acute pericarditis: results of the COlchicine for acute PEricarditis (COPE) trial. Circulation. 2005;112:2012–6.
Imazio M, Cecchi E, Demichelis B, et al. Indicators of poor prognosis of acute pericarditis. Circulation. 2007;115:2739–44.
Imazio M, Bobbio M, Cecchi E, et al. Colchicine as first-choice therapy for recurrent pericarditis: results of the CORE (COlchicine for REcurrent pericarditis) trial. Arch Intern Med. 2005;165:1987–91.
Sagrista-Sauleda J, Merce J, Permanyer-Miralda G, Soler-Soler J. Clinical clues to the causes of large pericardial effusions. Am J Med. 2000;109:95–101.
Imazio M, Brucato A, Cumetti D, et al. Corticosteroids for recurrent pericarditis: high versus low doses: a nonrandomized observation. Circulation. 2008;118:667–71.
Ben-Horin S, Bank I, Guetta V, Livneh A. Large symptomatic pericardial effusion as the presentation of unrecognized cancer: a study in 173 consecutive patients undergoing pericardiocentesis. Medicine. 2006;85:49–53.
Permanyer-Miralda G. Acute pericardial disease: approach to the aetiologic diagnosis. Heart. 2004;90:252–4.
Spodick DH. Acute cardiac tamponade. N Engl J Med. 2003;349:684–90.
Roy CL, Minor MA, Brookhart MA, Choudhry NK. Does this patient with a pericardial effusion have cardiac tamponade? JAMA. 2007;297:1810–8.
Curtiss EI, Reddy PS, Uretsky BF, Cecchetti AA. Pulsus paradoxus: definition and relation to the severity of cardiac tamponade. Am Heart J. 1988;115:391–8.
Spodick DH, Usher BW. Electrical alternans. Am Heart J. 1972;84:574–5.
Pande AN, Lilly LS. Pericardial disease. In: Solomon SD, editor. Essential echocardiography. Totowa: Humana Press; 2007. p. 191–208.
Klein AL, Abbara S, Agler DA, et al. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease. J Am Soc Echocardiogr. 2013;26:965–1012.
Alter P, Figiel JH, Rupp TP, et al. MR, CT, and PET imaging in pericardial disease. Heart Fail Rev. 2013;18:289–306.
Merce J, Sagrista-Sauleda J, Permanyer-Miralda G, Soler-Soler J. Should pericardial drainage be performed routinely in patients who have a large pericardial effusion without tamponade? Am J Med. 1998;105:106–9.
Mayosi BM, Burgess LJ, Doubell AF. Tuberculous pericarditis. Circulation. 2005;112:3608–16.
Sagrista-Sauleda J, Angel J, Permanyer-Miralda G, Soler-Soler J. Long-term follow-up of idiopathic chronic pericardial effusion. N Engl J Med. 1999;341:2054–9.
Syed FF, Schaff HV, Oh JK. Constrictive pericarditis -- a curable diastolic heart failure. Nat Rev Cardiol. 2014;11:530–44.
Bertog SC, Thambidorai SK, Parakh K, et al. Constrictive pericarditis: etiology and cause-specific survival after pericardiectomy. J Am Coll Cardiol. 2004;43:1445–52.
Welch TD, Ling LH, Espinosa RE, et al. Echocardiographic diagnosis of constrictive pericarditis: Mayo Clinic criteria. Circ Cardiovasc Imaging. 2014;7:526–34.
Cremer PC, Kwon DH. Multimodality imaging of pericardial disease. Curr Cardiol Rep. 2015;17:24–8.
Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD, Breen JF, Oh JK. Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation. 2003;108:1852–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Saldana, F., Lilly, L.S. (2019). Pericardial Diseases. In: Toth, P., Cannon, C. (eds) Comprehensive Cardiovascular Medicine in the Primary Care Setting. Contemporary Cardiology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-97622-8_22
Download citation
DOI: https://doi.org/10.1007/978-3-319-97622-8_22
Published:
Publisher Name: Humana Press, Cham
Print ISBN: 978-3-319-97621-1
Online ISBN: 978-3-319-97622-8
eBook Packages: MedicineMedicine (R0)