Pericarditis is a fondness disorder in which the lining of the heart ( called the pericardium ) becomes wake . The pericardium is the bivalent tissue layer sack that surrounds the heart and hold it in position within the chest . It also protects the heart from infections arising in other organs . This layer is flexible and make certain the heart does not increase in size of it too quickly when pump blood . There is a fluid in this sac call the pericardial fluid that lubricates the internal tissues and reduces the friction farm by heart activity .
What are the Main Types Of Pericarditis?
Pericarditis can be either knifelike or inveterate in nature . Acute pericarditis develops suddenly and is typically resolved within three weeks with rest and therapy . In Chronic pericarditis , the symptoms develop gradually over a menses of many months . It also takes longer to regale the precondition and more often than not , the patient develops further complication .
What are the Most Common Symptoms of Pericarditis?
The patient role typically kvetch of a astute pain the chest that resembles the pain experienced during a affectionateness attack . This pain sensation worsens on inhaling and improves when the patient lean forward while sit up . The patient role also experience low-spirited blood pressure sensation , a high temperature ( febrility ) and centre palpitations .
How Serious is Pericarditis?
If left untreated , pericarditis may lead to other serious eye disorders such as continuing constricting pericarditis and cardiac tamponage .
Chronic Constrictive Pericarditis : Chronic narrowing pericarditis is another stipulation that may develop if pericarditis is untreated over a prolonged period . When the pericardium continues to experience inflammation over a long period , it gradually bulge train scar tissue paper . This makes it misplace its flexibility and becomes more rigid . Thus , now the center is not able to fill at the earlier capacity and this keeps worsening over time . This result in a growth of a chronic constricting press on the heart muscles and this condition is termed inveterate constrictive pericarditis .
The patient generally experience grave swelling in the neighborhood of their arms and wooden leg along withshortness of breath , fatigue duty and some degree ofchest pain sensation .
The goal of the treatment is to slenderize the pressing on the warmheartedness by either removing the excess fluid using diuretics , cut the inflammation of the pericardium by using non - steroidal anti - rabble-rousing drugs , corticosteroids or colchicine and taking painful sensation killer to battle the chest hurting . It is also advisable to decrease the physical activeness level to give the heart time to recover .
Cardiac Tamponade : Cardiac tamponage is a condition that may break if there is excessive fluid accumulated in the pericardium . This fluid create a batch of pressure on the spunk and so does not allow the marrow to fill up properly with roue . This means the heart is now pumping out less quantity of blood and this causes the blood line pressure to decrease . Excessive low blood air pressure over a prolonged full stop could be liveliness threatening .
Cardiac tamponade is most commonly see in patients who produce pericarditis due to Crab or TB . The patients typically exhibit clinical symptoms of persistent depleted blood pressure , chest pain that spreads to the neck , shoulder or back and discomfort that is lessen when the patient leans forward .
Cardiac tamponade is generally treated with pericardiocentesis , an invasive operative procedure carried out under local anaesthesia . During this procedure , the physician will a catheter ( slight plastic tube ) through the bureau and into the pericardium . This catheter is used to remove the supernumerary fluid build up in the pericardiac cavity . The patients are also afford fluid and medicinal drug to increase their blood air pressure .
What is the Prognosis of the Serious Complications of Pericarditis?
Serious knottiness of pericarditis need contiguous medical attention and prompt treatment . If these not diagnosed and treat at the right stage , it can be life jeopardise as the probability of developingheart failuresignificantly increases . other diagnosing and treatment bring down the risk of developing long - term tortuousness and increases the likeliness that the patient will go on to direct healthy lives .
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