Five percent of all causes of chest pain in the emergency service is related with
acute pericarditis
[
[1]
]. A clinical diagnosis of acute pericarditis can be made according to the 2015 European
Society of Cardiology (ESC) guidelines
[
[2]
]. Because of ST-segment elevation or T inversion in electrocardiogram (ECG), acute
pericarditis can be confused with acute myocardial infarction with ST elevation, early
repolarization, and myocarditis
[
- Adler Y
- Charron P
- Imazio M
- Badano L
- Barón-Esquivias G
- Bogaert J
- et al.
2015 ESC guidelines for the diagnosis and management of pericardial diseases: the
Task Force for the Diagnosis and Management of Pericardial Diseases of the European
Society of Cardiology (ESC) endorsed by: the European Association for Cardio-Thoracic
Surgery (EACTS).
Eur Heart J. 2015; 36: 2921-2964
3
,
4
,
5
,
6
]. Especially in young patients, differential diagnosis of acute pericarditis can be
extremely difficult, and different practical methods or tools may sometimes be necessary
in the differential diagnosis. This study suggests a handy echocardiographic tool
in acute pericarditis at emergency admission in addition to the presence or absence
pericardial effusion in echocardiography.To read this article in full you will need to make a payment
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References
- Acute pericarditis.Rev Assoc Med Bras. 2015; 61: 184-190
- 2015 ESC guidelines for the diagnosis and management of pericardial diseases: the Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) endorsed by: the European Association for Cardio-Thoracic Surgery (EACTS).Eur Heart J. 2015; 36: 2921-2964
- ST-segment elevation in conditions other than acute myocardial infarction.N Engl J Med. 2003; 349: 2128-2135
- Acute myocarditis (predominately lymphocytic) causing sudden death without heart failure.Am J Cardiol. 2001; 88: 1078-1083
- Electrocardiographic manifestations of cardiac infectious-inflammatory disorders.Am J Emerg Med. 2010; 28: 364-377
- Viral myocarditis mimicking acute myocardial infarction.J Am Coll Cardiol. 1993; 21: 1302-1303
- Further observations on the usefulness of the sonographic Murphy sign in the evaluation of suspected acute cholecystitis.J Clin Ultrasound. 1995; 23: 169-172
- A systematic review and meta-analysis of diagnostic performance of imaging in acute cholecystitis.Radiology. 2012; 264: 708-720
Article Info
Publication History
Published online: June 13, 2016
Accepted:
June 10,
2016
Received in revised form:
June 9,
2016
Received:
May 25,
2016
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
