Pericarditis

Overview

Pericarditis is an inflammation of the pericardium, the thin membrane that surrounds the heart. During pericarditis, fluid between the inner and outer layers of the pericardium may increase. If the fluid increases quickly, a condition known as cardiac tamponade, it could threaten the heart’s ability to function properly.

Causes

Usually, the cause of pericarditis is unknown, but may include

  • Infection (viral, bacterial, fungal or parasitic)

  • Autoimmune disorders (i.e., systemic lupus erythematosus, rheumatoid arthritis or, scleroderma)

  • Inflammation after a heart attack

  • Chest trauma or injury

  • Cancer, tuberculosis, or kidney failure  

  • Medical therapies (certain medications, radiation therapy)

  • Heart surgery

Treatment

Your health care provider will determine your specific treatment, based on:

  • Your age, overall health and medical history

  • Severity of the disease

  • Cause of the disease

  • Your tolerance for specific medications, procedures, or therapies

  • Expectations for the course of the disease

  • Your opinion or preference

 

The goal of treatment for pericarditis is to determine and eliminate the cause of the disease. Treatment may include:

  • Medication (i.e., analgesics, anti-inflammatory drugs, or antibiotics)

  • Aspiration or removal of excess fluid

  • Surgery

Pericarditis may last from two to six weeks, and there may be a recurrence of the disorder.

Symptoms

The following are the most common indicators of pericarditis:

  • Chest pain that:

    • Can be felt behind the breastbone, beneath the clavicle (collarbone), neck or left shoulder.

    • Is a sharp, piercing pain over the center or left side of the chest that increases if the person takes a deep breath and usually decreases if the person sits up or leans forward.

  • Fever

  • Pain when swallowing

  • Palpitations (irregular heart beats)

The symptoms of pericarditis may resemble other conditions or medical problems. Consult your health care provider for a diagnosis.

For an ambulance, please call:

Nassau or Suffolk: (516) 719-5000

Manhattan: (212) 434-4911

Queens, Brooklyn or Staten Island: (718) 747-4911

(888) 321-DOCS

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Representatives are available 24 hours a day, seven days a week. If this is an emergency dial 911.

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