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Volume 6, Number 14; August 3, 2006 |
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Clinical Question:
1) How is acute pericarditis diagnosed?
Recommended reading:
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Session Handout:
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Readings: Link Directly to Fulltext Article at Publisher <1> Unique Identifier [PMID]: 15548780 Authors: Lange RA. Hillis LD. Institution: Department of Internal Medicine, Cardiology Division, Johns Hopkins Medical Institutions, Baltimore, USA. Title: Clinical practice. Acute pericarditis.[see comment][erratum appears in N Engl J Med. 2005 Mar 17;352(11):1163]. [Review] [43 refs]
Source: New England Journal of Medicine. 351(21):2195-202, 2004 Nov 18. Publication Type: Journal Article. Review.
Link Directly to Fulltext Article at Science Direct <2> Unique Identifier [PMID]: 15001332 Authors: Troughton RW. Asher CR. Klein AL. Institution: Department of Medicine, Christchurch School of Medicine and Health Sciences, Christchurch, New Zealand. Title: Pericarditis. [Review] [152 refs]
Source: Lancet. 363(9410):717-27, 2004 Feb 28. Abstract: Pericarditis is a common disorder that has multiple causes and presents in various primary-care and secondary-care settings. New diagnostic techniques have improved the sampling and analysis of pericardial fluid and allow comprehensive characterisation of cause. Despite this advance, pericarditis is most commonly idiopathic, and radiation therapy, cardiac surgery, and percutaneous procedures have become important causes. Pericarditis is frequently self-limiting, and non-steroidal anti-inflammatory agents remain the first-line treatment for uncomplicated cases. Integrated use of new imaging methods facilitates accurate detection and management of complications such as pericardial effusion or constriction. Differentiation of constrictive pericarditis from restrictive cardiomyopathy remains a clinical challenge but is facilitated by tissue doppler and colour M-mode echocardiography. Most pericardial effusions can be safely managed with an echo-guided percutaneous approach. Pericardiectomy remains the definitive treatment for constrictive pericarditis and provides symptomatic relief in most cases. In the future, the pericardial space might become a conduit for treatments directed at the pericardium and myocardium. [References: 152] Publication Type: Journal Article. Review.
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Resident Report / Department of Medicine & Grady Branch Library Emory University School of Medicine 2006 Edition Participating Faculty: Carlos Del Rio MD / Joyce Doyle MD / Lorenzo Difrancesco MD / Joel Mermis MD / Maunank Shah MD
Contact:
Karl Woodworth
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