Pericarditis is the inflammation of one or all layers of pericardium . The unlike layers of pericardium are parietal ( outer level ) , middle fluid stratum ( prevents friction between the knocked out and the inner layer ) , and splanchnic ( inner layer ) pericardium . Pericardium surrounds the heart and holds it into place when in motion . contagion , heart attack , hurt , warmness OR , cancer , radiation , autoimmune disease , and sure drugs can cause it .
Pericarditis Symptoms
Pericarditis mostly stimulate acute bureau pain and can cause dull pectus pain that might diversify from the middle of the chest to the cervix / back orbit . The bureau nuisance decline on lying down , swallowing or cough , but is relieved on seat tumid . Other symptoms includeshortness of breathing spell , increased heart rate , sore breathing , difficulty take back , fatigue duty , febrility , chills , andmalaise . Men , between the ages of 20 to 50 days , are at a greater risk of developing pericarditis and around 20 to 30 % may have a recurrence of pericarditis .
Diagnosis and Treatment
The diagnosing of pericarditis is done after evaluating medical account , probe the patient for signs and blood test . imagery such as chestX - ray , electrocardiogram , echocardiogram , or CT spunk can also be done to look at the heart and tissue layer . The discussion of pericarditis includesNSAIDssuch as ibuprofen and naproxen for pain and inflammation , steroids for severe inflammation , antibiotic for bacterial contagion and colchicine for repetitive and prolonged symptom of pericarditis .
Can Pericarditis Damage The Heart?
If pericarditis is get out untreated then it inevitably does not damage the tenderness , but may precede to sure complications such as cardiac tamponade and limiting pericarditis . Cardiac tamponage is the accrual of large amount of money of fluid inside the pericardiac theca that affects the heart causing decreased blood pressure and alteration of heart map . Cardiac tamponade requires immediate drain of fluid known as pericardiocentesis and if fluid is not drained from the pericardial sac then the patient might show foretoken of shock , hypotension or evencongestive heart failure .
Untreated pericarditis could also lead to constrictive pericarditis . It is a continuing inflammation of pericardium that leads to scarring and thickening of the pericardium . The elasticity of the pericardium is lost , which makes it rigid and difficult for the heart to run properly . The symptom of constrictive pericarditis include trouble breathing , shortness of breath , weariness , swelling of extremity , dresser pain , low - grade fever , unexplained weighting gain , and irregular instant ( atrial fibrillation ) .
Causes and Risk Factors of Constrictive Pericarditis
Constrictive pericarditis is idiopathic in nature . The other potential cause may include heart operation , tuberculosis , actinotherapy therapy to the chest , viral / bacterial infection . limiting pericarditis is make due to rigidness of the pericardium due to which it is ineffective to expand properly , which prevents the heart sleeping room from fill up with blood completely that might lead to spirit loser symptoms .
Constrictive pericarditis is an highly rare condition in adults as well as in small fry , but people who are not treated for pericarditis are at a keen peril of developing limiting pericarditis . Other danger factors include autoimmune disease ( lupusandrheumatoid arthritis ) , trauma to centre , and sure medications .
Diagnosis and Treatment of Constrictive Pericarditis
limiting pericarditis is difficult to diagnose as it is most often confused with other heart conditions such as cardiac tamponade or restrictive cardiomyopathy and is often misdiagnosed . mental imagery such as chestX - ray , MRI , CT scan , cardiac catheterisation , electrocardiogram , andechocardiogrammay be done for further diagnosing of restricting pericarditis .
The intervention of narrowing pericarditis is focused on improving ticker function and to relieve signs and symptoms . diuretic may be used to remove fluent buildup in the extremities , pain medicament for pain embossment , antiinflammatories for the reduction of inflammation , economic consumption of colchicine and/or steroid hormone . The patient is also advised to perch and deoxidise the inspiration of salt in his / her diet . If symptoms do not improve with medicine then the last haunt is pericardiectomy , which is the remotion of the scarred share of the pericardium . The affected role does contribute a good for you life after proper discussion of constrictive pericarditis , but it is proficient to prevent this complication and be treated for pericarditis to avoid progress to narrowing pericarditis .
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