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Papers of the Week


2020 Jan 07


J Am Coll Cardiol


75


1

Management of Acute and Recurrent Pericarditis: JACC State-of-the-Art Review.

Authors

Chiabrando J G, Bonaventura A, Vecchié A, Wohlford GF, Mauro AG, Jordan JH, Grizzard JD, Montecucco F, Berrocal D H, Brucato A, Imazio M, Abbate A
J Am Coll Cardiol. 2020 Jan 07; 75(1):76-92.
PMID: 31918837.

Abstract

Pericarditis refers to the inflammation of the pericardial layers, resulting from a variety of stimuli triggering a stereotyped immune response, and characterized by chest pain associated often with peculiar electrocardiographic changes and, at times, accompanied by pericardial effusion. Acute pericarditis is generally self-limited and not life-threatening; yet, it may cause significant short-term disability, be complicated by either a large pericardial effusion or tamponade, and carry a significant risk of recurrence. The mainstay of treatment of pericarditis is represented by anti-inflammatory drugs. Anti-inflammatory treatments vary, however, in both effectiveness and side-effect profile. The objective of this review is to summarize the up-to-date management of acute and recurrent pericarditis.