Management of Acute and Recurrent Pericarditis,Journal of the American College of Cardiology

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Management of Acute and Recurrent Pericarditis
Journal of the American College of Cardiology ( IF 21.7 ) Pub Date : 2020-01-01 , DOI: 10.1016/j.jacc.2019.11.021
Juan Guido Chiabrando ₁ , Aldo Bonaventura ₂ , Alessandra Vecchié ₂ , George F Wohlford ₃ , Adolfo G Mauro ₄ , Jennifer H Jordan ₅ , John D Grizzard ₆ , Fabrizio Montecucco ₇ , Daniel Horacio Berrocal ₈ , Antonio Brucato ₉ , Massimo Imazio ₁₀ , Antonio Abbate ₄

Affiliation

VCU Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia; Department of Cardiology, Hospital Italiano, Buenos Aires, Argentina.
VCU Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia; First Clinic of Internal Medicine, Department of Internal Medicine, University of Genoa, Genoa, Italy.
VCU School of Pharmacy, Virginia Commonwealth University, Richmond, Virginia.
VCU Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia.
VCU Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia; Department of Biomedical Engineering, Virginia Commonwealth University, Richmond, Virginia.
Department of Radiology, Virginia Commonwealth University, Richmond, Virginia.
First Clinic of Internal Medicine, Department of Internal Medicine, University of Genoa, Genoa, Italy; IRCCS Ospedale Policlinico San Martino Genova-Italian Cardiovascular Network, Genoa, Italy.
Department of Cardiology, Hospital Italiano, Buenos Aires, Argentina.
Department of Biomedical and Clinical Sciences "Sacco," University of Milano, Ospedale Fatebenefratelli, Milan, Italy.
University Cardiology, AOU Città della Salute e della Scienza di Torino, Turin, Italy.

Pericarditis refers to the inflammation of the pericardial layers, resulting from a variety of stimuli triggering a stereotyped immune response, and characterized by chest pain associated often with peculiar electrocardiographic changes and, at times, accompanied by pericardial effusion. Acute pericarditis is generally self-limited and not life-threatening; yet, it may cause significant short-term disability, be complicated by either a large pericardial effusion or tamponade, and carry a significant risk of recurrence. The mainstay of treatment of pericarditis is represented by anti-inflammatory drugs. Anti-inflammatory treatments vary, however, in both effectiveness and side-effect profile. The objective of this review is to summarize the up-to-date management of acute and recurrent pericarditis.

中文翻译：

急性和复发性心包炎的管理

心包炎是指心包层的炎症，由各种刺激引发刻板的免疫反应引起，其特征是胸痛，常伴有特殊的心电图变化，有时伴有心包积液。急性心包炎通常是自限性的，不会危及生命；然而，它可能会导致严重的短期残疾，并发大量心包积液或心包填塞，并具有显着的复发风险。心包炎的主要治疗方法是抗炎药。然而，抗炎治疗在有效性和副作用方面各不相同。本综述的目的是总结急性和复发性心包炎的最新管理。

更新日期：2020-01-01

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