• Cardiology clinics · Nov 2017

    Review

    Acute and Recurrent Pericarditis.

    • Massimo Imazio and Fiorenzo Gaita.
    • Department of Medical Sciences, University Cardiology, AOU Città della Salute e della Scienza di Torino, Corso Bramante 88/90, Torino 10126, Italy. Electronic address: massimo.imazio@unito.it.
    • Cardiol Clin. 2017 Nov 1; 35 (4): 505-513.

    AbstractAcute and recurrent pericarditis is the most common pericardial syndrome encountered in clinical practice either as an isolated process or as part of a systemic disease. The diagnosis is based on clinical evaluation, electrocardiogram, and echocardiography. The empiric therapy is based on nonsteroidal anti-inflammatory drugs plus colchicine as first choice, resorting to corticosteroids for specific indications (eg, systemic inflammatory disease on corticosteroids, pregnancy, renal failure, concomitant oral anticoagulants), for contraindications or failure of the first-line therapy. The most common complication is recurrence, occurring in up to 30% of cases after a first episode of pericarditis.Copyright © 2017 Elsevier Inc. All rights reserved.

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