Pericarditis

Pericarditis is a medical condition characterized by inflammation of the pericardium, which is the sac-like tissue that surrounds the heart. The pericardium produces a small amount of fluid that helps to lubricate the heart and reduce friction between the heart and surrounding tissues.

Causes of Pericarditis

Pericarditis can be caused by a variety of factors, including:

• Viral infections, such as coxsackievirus or influenza
• Bacterial infections, such as tuberculosis or streptococcus
• Fungal infections, such as histoplasmosis
• Autoimmune disorders, such as rheumatoid arthritis or lupus
• Trauma to the chest, such as from a car accident or fall
• Heart surgery or other medical procedures
• Cancer, such as lung cancer or breast cancer
• Uremia, which is a buildup of waste products in the blood due to kidney failure

Symptoms of Pericarditis

The symptoms of pericarditis can vary depending on the severity and cause of the condition. Common symptoms include:

• Chest pain, which may be sharp or dull and can radiate to the back or arms
• Shortness of breath
• Fever
• Chills
• Weakness or fatigue
• Palpitations, which are abnormal heart rhythms
• Swollen legs or ankles due to fluid buildup

Types of Pericarditis

There are several types of pericarditis, including:

• Acute pericarditis, which is a sudden onset of inflammation that can last for days or weeks
• Chronic pericarditis, which is a long-term inflammation that can last for months or years
• Recurrent pericarditis, which is a repeated episode of inflammation after an initial episode has resolved
• Constrictive pericarditis, which is a type of chronic pericarditis where the pericardium becomes thickened and scarred, restricting heart function

Diagnosis of Pericarditis

Pericarditis can be diagnosed using a variety of tests, including:

• Chest X-ray to evaluate the size and shape of the heart
• Electrocardiogram (ECG) to evaluate heart rhythm and function
• Echocardiogram to evaluate heart function and pericardial fluid buildup
• Computed tomography (CT) scan or magnetic resonance imaging (MRI) to evaluate the pericardium and surrounding tissues
• Blood tests to evaluate for signs of infection, inflammation, or other underlying conditions

Treatments for Pericarditis

The treatment for pericarditis depends on the cause and severity of the condition. Common treatments include:

• Medications to reduce pain and inflammation, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or colchicine
• Antibiotics to treat bacterial infections
• Anti-fungal medications to treat fungal infections
• Corticosteroids to reduce inflammation in autoimmune disorders
• Pericardiocentesis, which is a procedure to remove excess fluid from the pericardium
• Pericardial window, which is a surgical procedure to create an opening in the pericardium to allow for drainage of fluid
• Pericardiectomy, which is a surgical procedure to remove part or all of the pericardium

Complications of Pericarditis

Untreated or severe pericarditis can lead to complications, including:

• Tamponade, which is a life-threatening condition where fluid buildup in the pericardium compresses the heart and restricts its function
• Constrictive pericarditis, which can lead to chronic heart failure
• Cardiac arrhythmias, such as atrial fibrillation or ventricular tachycardia
• Myocardial infarction, which is a heart attack

Prevention of Pericarditis

While pericarditis cannot always be prevented, there are steps that can be taken to reduce the risk of developing the condition. These include:

• Practicing good hygiene and avoiding close contact with people who have viral or bacterial infections
• Getting vaccinated against flu and other infections
• Avoiding trauma to the chest, such as wearing a seatbelt while driving
• Managing underlying medical conditions, such as autoimmune disorders or kidney disease