This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (30)  • Contact me when this article is cited  Related Content  • Related letter  • Related article  • Similar articles in JAMA  Topic Collections  • Cardiovascular System  • Diagnosis  • Cardiovascular Disease/ Myocardial Infarction  • Alert me on articles by topic  Social Bookmarking   What's this?

Current Concepts and Practice

David H. Spodick, MD, DSc

JAMA. 2003;289:1150-1153.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Contemporary understanding of acute pericarditis rests on 3 main considerations¹: (1) pericarditis occurs in every category of disease, common and exotic (the spectrum is so broad that with every new case, the clinician should devise an appropriate differential diagnosis) (Box),² (2) to avoid therapeutic mishaps, pericarditis must not be mistaken for other syndromes,³ and (3) the etiological and clinical spectra of acute pericarditis change frequently and some classic assumptions and descriptions, perpetuated in some publications, are outdated (Table 1).^4-9 Except immunocompromised individuals, especially in patients with acquired immunodeficiency syndrome, there has been a sharp decline in infectious pericarditis.¹⁰ Tuberculous pericarditis has declined markedly in developed countries.¹¹

Table appears in full text version. Table 1. Misconceptions in Pericardial Disease

Box. Differential Diagnosis for New Acute Cases of Pericardial Disease* Idiopathic pericarditis (specific diagnosis unidentified) Due to living agents: infectious, parasitic (geographic areas where parasitic disease . . . [Full Text of this Article]

Clinical Considerations

Confusion With Other Diseases

Pericardial Effusion and Cardiac Tamponade

Etiologic Spectra

Conclusion

Author Affiliation: University of Massachusetts Medical School, Cardiovascular Medicine Fellowship Program, Saint Vincent Hospital, Worcester.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED LETTER

Electrocardiographic Diagnosis of Pericarditis
Ishak Mansi
JAMA. 2003;289(22):2942.
EXTRACT | FULL TEXT  

RELATED ARTICLE

Pericarditis
Sharon Parmet, Cassio Lynm, and Richard M. Glass
JAMA. 2003;289(9):1194.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Pericardiectomy for pericarditis in the pediatric population.
Thompson et al.
Ann. Thorac. Surg. 2009;88:1546-1550.
ABSTRACT | FULL TEXT  

Troponin is superior to electrocardiogram and creatinine kinase MB for predicting clinically significant myocardial injury after coronary artery bypass grafting
Muehlschlegel et al.
Eur Heart J 2009;30:1574-1583.
ABSTRACT | FULL TEXT  

Acute Pericarditis: Appendicitis of the Heart?
Bainey and Bhatt
Mayo Clin Proc. 2009;84:5-6.
FULL TEXT  

Frequency and Predictors of Urgent Coronary Angiography in Patients With Acute Pericarditis
Salisbury et al.
Mayo Clin Proc. 2009;84:11-15.
ABSTRACT | FULL TEXT  

CHAPTER 19 Pericardial Disease
Soler-Soler and Sagristà-Sauleda
ESC Textbook of Cardiovascular Medicine 2009;2:med-9780199566990-chapter-med-9780199566990-chapter.
ABSTRACT | FULL TEXT  

Indicators of Poor Prognosis of Acute Pericarditis
Imazio et al.
Circulation 2007;115:2739-2744.
ABSTRACT | FULL TEXT  

Pericarditis
Futterman and Lemberg
Am J Crit Care 2006;15:626-630.
FULL TEXT  

Pericardial Disease
Little and Freeman
Circulation 2006;113:1622-1632.
FULL TEXT  

Colchicine in Addition to Conventional Therapy for Acute Pericarditis: Results of the COlchicine for acute PEricarditis (COPE) Trial
Imazio et al.
Circulation 2005;112:2012-2016.
ABSTRACT | FULL TEXT  

Pretreatment with corticosteroids attenuates the efficacy of colchicine in preventing recurrent pericarditis: a multi-centre all-case analysis
Artom et al.
Eur Heart J 2005;26:723-727.
ABSTRACT | FULL TEXT  

Acute Pericarditis
Lange and Hillis
NEJM 2004;351:2195-2202.
FULL TEXT  

Day-hospital treatment of acute pericarditis: A management program for outpatient therapy
Imazio et al.
J Am Coll Cardiol 2004;43:1042-1046.
ABSTRACT | FULL TEXT  

Electrocardiographic Diagnosis of Pericarditis
Mansi
JAMA 2003;289:2942-2942.
FULL TEXT