super
ficial Pericardium:outermost, ofparietal and visceral
Myocardium:heart muscle consists layers.
Endocardium:innermost endothelial
Deep layer.
Pericarditis
into tamponade/pericardial effusion.
·
can
progress
Constrictive Pericarditis -
pericardium becomes rigid,
causing Right-sided, Diastolic HI.
Causes: symptoms/Signs:
Pleuritic leaning forward,
mostcommon
better on
Idiopathic pain supine.
-
worse
-
-
TB
-
fever
M1(Dressler's Syndrome) saddle ST
Diagnosis:
- -
Pericardial rub
Surgical Trauma
-
-
-
Autoimmune -Raised JVP 2 of4 criteria:
-
Uraemia
-
Reduced Heart Sounds
-
Amyloidosis
-
characteristic chest pain
-latrogenic Investigation:
-
New St elevation/saddle
Malignancy Pericardial rub
- -
-
Viral/Bacterial Infection -
WCC, CRP, Troponin
-
Pericardial effusion
Echocardiogram
-
Dressler Syndrome Tumour markers
-
-
Pericarditis,
-
TB PCR
SADDLE ST
secondary to Mor trauma. ECG
-
Management:
Viral is
self-resolving, justgive pain relief.
NSAIDS/Aspirin Usually, Heparin is
- ·
not resolved/contraindicated
Steroids if in Perican
-
autoimmune. as it leads to Tamponade,.
-
Antibiotics for but be
must used during Mr.
bacterial infection.