We present a case where pericarditis, in the absence of the classic COVID-19 signs or symptoms, is the only evident manifestation of the disease. This case highlights an atypical presentation of COVID-19 and the need for a high index of suspicion to allow early diagnosis and limit spread by isolation.
Recurrent pericarditis can have far-reaching implications for patients and the
healthcare system. For many individuals, the first acute episode is just the
beginning of their pericarditis journey.
Acute pericarditis remains the most common presentation of pericardial diseases. Although generally
benign, pericarditis can be fraught by a significant
number of complications and recurrences. According to geographical differences, the etiology varies
and so do its prognosis and treatments.
It is my opinion that the medical discovery of pericarditis as a disease entity has actually caused overall net harm to human beings. I see and review so many cases in which the notion of “pericarditis” leads to patient harm that it has become a four-letter diagnosis to me.
Pericarditis is a common disease but frequently subclinical. There are a number of causes, including infection, systemic disease, metabolic disease, postmyocardial infarction, medication, neoplasm, and iatrogenic. The most common presentation is chest pain and electrocardiographic findings of diffuse ST-segment elevation. However, on occasion these changes can mimic a presentation of acute myocardial infarction
In developed countries, roughly 80 to 90% of cases of acute pericarditis are idiopathic; that is, no specific cause is identified after routine evaluation. It is assumed that these cases are viral. The remaining 10 to 20% of cases are most commonly associated with post-cardiac injury syndromes, connective-tissue diseases (especially systemic lupus erythematosus), or cancer.
I have created this blog because I suffer with recurrent pericarditis as a consequence of open heart surgery nearly ten years ago.
Susan Hill, 57, from Melbourne, Australia, was diagnosed with pericarditis while studying for her Masters in 2017. The grandmother of four felt inspired to write this powerful poem after realising there was a lack of knowledge and acknowledgement of the condition.
I had chronic pericarditis as a young man and my pericardium had to be removed.
In this disorder, the pericardium is injured — usually by a viral infection — and as it heals, it shrinks. Stuck in this shrunken jacket, the heart can only pump a fraction of the blood needed by the body. Could the virus that caused the flulike symptoms at the start of this illness have attacked his pericardium?
Along with enabling young people to achieve, The Jack Dulson Memorial Fund aims to raise awareness of Staphylococcus aureus and Pericarditis and provide others with much-needed information and support.
Personal blog about my journey with pericarditis.
The RESONANCE Registry is currently looking for people with pericarditis to participate in research to help physicians and patients understand more about pericarditis.
In the United States, there is no consensus on diagnostic guidelines for doctors to follow when pericarditis is suspected. However, the European Society of Cardiology has outlined their criteria, which requires two of the four following symptoms to occur in order to be diagnosed...
Pericarditis is usually acute — it develops suddenly and may last up to several months. If you could see and touch it, the membrane around the heart would look red and swollen, like the skin around a cut that becomes inflamed. Sometimes excess fluid develops in the space between the pericardial layers and causes a pericardial effusion (buildup of excess fluid around the heart).
In many people with pericarditis, the initial trigger is a viral infection. However, the inflammation may not be a direct result of the infection. Instead, the virus may stimulate the immune system to attack and inflame the pericardium.
Pericarditis is a swelling and irritation of the pericardium, the thin sac-like membrane that surrounds your heart. Pericarditis often causes chest pain and sometimes other symptoms. Pericarditis may be acute or chronic. The sharp chest pain associated with acute pericarditis occurs when the pericardium rubs against the heart's outer layer.
The cause of pericarditis in most patients is unknown but is likely due to viral infection. Pericarditis may be an associated complication of many diseases or may be due to trauma.
Pericarditis is usually a complication of viral infections, most commonly echovirus or coxsackie virus. Less frequently, it is caused by influenza or HIV infection. Infections with bacteria can lead to bacterial pericarditis (also called purulent pericarditis). Some fungal infections can also produce pericarditis.
In the majority of patients, empiric treatment with high dose anti-inflammatory agents in addition to colchicine is recommended, and NSAID therapy should continue until symptom relief. This period is typically between 3 days to 2 weeks.