Pericarditis is the kindling of pericardium , the two layers of a sac - like tissue surrounding the nerve . The function of pericardium is to keep the warmness in position when we are in motion such as walk or running . loosely , a small amount of fluid is present in between the two layer of pericardium to keep rubbing . An inflammation usually leave in a construct - up of this fluid leading to pitiable heart role .
Types of Pericarditis
Pericarditis can be broadly speaking separate into two types :
Acute pericarditis occurs suddenly and does not last long .
inveterate pericarditis develops over a stop and the symptoms persist for more than 3 months or are recurrent .
Symptoms of Pericarditis
Mostly , pericarditis nowadays as a needlelike andstabbing painthat might mimic aheart attack , but on occasions might be dull pain too . The hurting begins in the middle of the breast and radiate to the upper back / neck area . The chest annoyance sometimes worsens on lying down , coughing and swallowing . It is often remedy on sitting up . The pain might also cause painful breathing . Other symptoms admit fever , chills , shortness of breath , difficultness swallowing , helplessness , fatigueandmalaise . Generally , valet de chambre are at an increased risk of develop pericarditis .
What Are The Causes Of Pericarditis?
The exact cause of pericarditis is strange . The other common cause admit infections such as viral , bacterial , or fungal . It might also present in inflammatory disease such asrheumatoid arthritis , SLE , ankylosing spondylitis , scleroderma , inflammatory bowels disease , heart diseases such asDressler ’s syndrome , kernel attackcausing irritation and inflammation of the pericardiac facing , trauma to the chest , kidney unsuccessful person , tumors including leukemia , radiation therapy to the chest of drawers and also due to certain medications such as procainamide , Apresoline , diphenylhydantoin , Nydrazid , and immunosuppressant drugs .
Pericarditis Diagnosis
Pericarditis is usually confirmed with past aesculapian story and forcible examination . The chronicle of pain and the character would point pericarditis . A account of late chest infection is important , specially if it is recurrent . The most mutual physical finding is a pericardial frictional snag . In addition , it might give with signs of fluid in the pericardium , known as pericardial effusion or fluid in the lung , known as pleural effusion . Heart sounds may also be distant or tone down .
The imaging tests may be done to check the heart and tissue layer , which includeX - rayof the chest , electrocardiogram , andechocardiogram , ultrasoundof the heart , radionuclide read orCT scan . Troponin I test will show further eye muscle damage . Other tests may include CBC , rakehell acculturation , CRP test , ESR , HIV trial run , rheumatoid divisor and TB skin test .
Can Pericarditis Go Away On Its Own?
Sometimes pericarditis is meek and go off on its own with just anti - inflammatory drugs or NSAIDs ( ibuprofen or naproxen ) . A short course of narcotic drugs may be used to relieve life-threatening pain . If it is due to bacterial infection antibiotics are used , and antifungals are take for fungous infection . Other medicines that are used are corticosteroids for e.g. prednisone , diuretics ( for removing supernumerary fluid ) , colchicine to prevent jut due to inflammation .
If pericarditis is not treated mean that it will go aside on its own then it might also present with certain complications such as :
Cardiac Tamponade : It is the most dangerous complication that can occur , which lead in the assemblage of big amounts of fluid leading to fall roue pressure and altered affection function . It is treated with pericardiocentesis ( fluid drainage from the sac ) and pericardiotomy ( gain a small mess in the pericardium for drain of septic fluid in the abdominal cavity ) . It is a aesculapian emergency and the patient may present with shock , hypotension , difficulty external respiration , or congestive cardiac failure .
Constrictive Pericarditis : This mostly occurs due to chronic / repeated pericarditis that have pit and thickening of the sac - alike covering and the heart muscle . It is cover with pericardiectomy ( severing a part of the pericardium ) .
Therefore , it is advisable to get pericarditis care for without waiting for it to resolve on its own .
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