[New possibilities of diagnostics and therapy of pericarditis].

Der Internist
B Maisch, K Karatolios

Abstract

Pericarditis is an inflammatory disorder of the pericardium with or without an associated pericardial effusion. The diagnosis is based on the clinical manifestations and typical ECG changes. Echocardiography is essential to reveal the size of the pericardial effusion and to determine its hemodynamic significance. The precise etiology of pericarditis may be established by pericardiocentesis, pericardioscopy and targeted biopsy and consecutive pericardial fluid and biopsy analysis by molecular biology, cytology, microbiology and immunological techniques. Non steroidal anti-inflammatory drugs and/or colchicine are the mainstay of anti-inflammatory treatment of pericarditis. Systemic corticoid treatment should be restricted to patients with associated autoimmune disorder, relapsing pericarditis and as a complementary therapy in tuberculous pericarditis. In autoreactive pericarditis intrapericardial instillation of triamcinolone is effective with few side effects. In malignant pericarditis the intrapericardial administration of cisplatin prevents early recurrences.

References

Nov 1, 1978·The American Journal of Medicine·J G Krikorian, E W Hancock
Nov 15, 1993·Journal of the American College of Cardiology·J Sagristà-SauledaJ Soler-Soler
Aug 1, 1993·The American Journal of Medicine·G R CoreyT C Wall
May 1, 1997·Chest·D G MeyersT W Prendergast
Sep 3, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Haşim UstünsoyMetin Kilinç
Sep 11, 2002·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Chisato IzumiTakashi Konishi
Oct 15, 2003·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Zhen J WangCharles B Higgins
Apr 20, 2004·Journal of the American College of Cardiology·Stefan C BertogAllan L Klein
May 4, 2004·European Heart Journal·Bernhard MaischUNKNOWN Task Force on the Diagnosis and Management of Pricardial Diseases of the European Society of Cardiology
Oct 16, 2004·Heart·Jordi Soler-SolerGaietà Permanyer-Miralda
Mar 10, 2005·European Heart Journal·Bernhard Maisch
Mar 3, 2007·Der Internist·B MaischS Pankuweit
Aug 24, 2007·Deutsche medizinische Wochenschrift·K Karatolios, B Maisch

❮ Previous
Next ❯

Citations

Jan 6, 2010·International Journal of Environmental Research and Public Health·Norman SchöffelDavid Quarcoo
Oct 16, 2009·Cases Journal·Edward J Banham-Hall, Awais M Bokhari
May 29, 2012·Heart Failure Reviews·Konstantinos KaratoliosBernhard Maisch
Nov 20, 2010·Korean Circulation Journal·Seongwook Han, Chun Hwang
Mar 7, 2019·Praxis der Kinderpsychologie und Kinderpsychiatrie·Lars Tischler
Jan 9, 2013·Epilepsia·Julia Höfler, Eugen Trinka

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diseases

Autoimmune diseases occur as a result of an attack by the immune system on the body’s own tissues resulting in damage and dysfunction. There are different types of autoimmune diseases, in which there is a complex and unknown interaction between genetics and the environment. Discover the latest research on autoimmune diseases here.