Pericarditis



Aetiology

Infections

  • Coxsackie, bacterial, TB

Neoplastic

Drugs

  • Procainamide, Hydralazine

Autoimmune

Pericarditis

ECG

  • Diffuse concave ST elevation (ST depression in V1)
  • Low voltage if effusion
  • Later flattening or inversion T globally
  • Return to normal(3/12)

Note

  • Beware compromise / tamponade

Treatment

    • Aspirin (high dose)
    • ± antimicrobials (discuss with microbiologist)
    • Refer cardiology if cardiac compromise or recurrent

Content by Dr Íomhar O' Sullivan 22/02/2005. Reviewed by Dr ÍOS 26/04/2007. Last review Dr. ÍOS 5/05/15