An analysis of pericarditis: acute and recurrent
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Abstract
Objective: To analyze the characteristics of acute and recurrent pericarditis. Bibliographic review: The pericardium is a double-layered membrane that surrounds the heart. Thickening and inflammation of this membrane is called pericarditis. Acute and recurrent pericarditis is caused by active inflammation of the pericardium, which is idiopathic in most cases. Acute pericarditis is the most frequent among pericardial syndromes and accounts for approximately 5% of all emergency room admissions for acute chest pain. The most frequent complication after acute pericarditis is recurrent or incessant pericarditis, reported in about 15 to 30% of patients. Final considerations: Acute pericarditis is a relatively common cause of acute chest pain that can be promptly assessed by complete anamnesis complemented by electrocardiogram and echocardiography, with recurrence being one of its main complications. Its therapy is based on exercise restriction, non-steroidal anti-inflammatory drugs (ibuprofen or aspirin) and colchicine with a proton pump inhibitor in order to protect the stomach. In addition, corticoids can be used and there are new drugs such as the monoclonal antibodies anakinra, canakinumab and rilonacept.
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