Diagnosis and treatment of pericarditis

@article{Imazio2015DiagnosisAT,
  title={Diagnosis and treatment of pericarditis},
  author={Massimo Imazio and Fiorenzo Gaita},
  journal={Heart},
  year={2015},
  volume={101},
  pages={1159 - 1168}
}
### Learning objectives 1. Review the definitions, classification and aetiology of pericarditis. 2. Describe the clinical presentation, diagnostic criteria and work-up, laboratory and imaging findings of pericarditis. 3. Review and describe the contemporary medical, interventional and surgical therapies, the prevention and prognosis of pericarditis. ### Classification and definition Pericarditis is an inflammatory disease of the pericardium, which may have infectious or non-infectious… 
Noninfectious pericarditis: management challenges for cardiologists.
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The most common and troublesome complication of pericarditis is represented by recurrences, while the risk of developing constriction is related to the aetiology and not to the number of Recurrences.
The Heterogeneous Expressions of Pericardial Disease: A Case Report/Series
TLDR
The normalPericardium and variations of the pericardial disease based on the previously described cases are reviewed and the clinical manifestations, etiology, diagnostic tools, and treatment methods are discussed.
Complicated Pericarditis: Understanding Risk Factors and Pathophysiology to Inform Imaging and Treatment.
Acute Pericarditis Diagnostic Score Development in Patients Admitted for Chest Pain
TLDR
The proposed multivariate score for diagnosis of pericarditis as the cause of acute chest pain is accurate and needs to be further validated in an independent sample.
Chronic pericardial effusion: current concepts and emerging trends.
TLDR
Novel data have contributed to change the view towards large, asymptomatic, "idiopathic" PEFs and dictated a rather conservative approach in most cases.
New Approaches to Management of Pericardial Effusions
TLDR
It seems that in the subgroup of asymptomatic patients with large (> 2-cm end-diastolic diameter), chronic (> 3 months) C-reactive protein negative, idiopathic (without an apparent cause) pericardial effusion, a conservative approach is the most reasonable option.
Acute pericarditis: a review of current diagnostic and management guidelines.
TLDR
Diagnostically, the current combination of symptoms, clinical signs and investigations offer reasonable criteria for diagnosis, but they are not a gold standard, and research into its therapeutic treatment options is required.
Development of Diagnostic Score for Acute Pericarditis in Patients Admitted for Chest Pain
TLDR
The proposed multivariate score seems to be accurate for the diagnosis of pericarditis and require further validation in an independent sample.
Contemporary diagnosis and treatment of recurrent pericarditis
TLDR
This review will focus on the most useful and recent diagnostic tools for recurrent pericarditis and aims at identification of a predominant auto-inflammatory of auto-immune mechanism, which is essential to tailor the treatment.
Clinical management and therapy of idiopathic recurrent pericarditis
TLDR
The long term outcome of idiopathic recurrent pericarditis is good, with no evolution towards constrictive form.
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