Acute pericarditis

被引:192
作者
Lange, RA
Hillis, LD
机构
[1] Univ Texas, SW Med Ctr, Dallas, TX 75390 USA
[2] Johns Hopkins Med Inst, Dept Internal Med, Div Cardiol, Baltimore, MD 21205 USA
关键词
D O I
10.1056/NEJMcp041997
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 35-year-old woman who is otherwise healthy has had constant retrosternal chest pain for two days. The pain becomes worse when she lies down and improves when she sits up and leans forward. On physical examination, the patient is afebrile and has a friction rub. The 12-lead electrocardiogram shows widespread ST-segment elevation and concomitant PR-segment depression. How should the patient be evaluated and treated?
引用
收藏
页码:2195 / 2202
页数:8
相关论文
共 43 条
[1]   Colchicine treatment for recurrent pericarditis - A decade of experience [J].
Adler, Y ;
Finkelstein, Y ;
Guindo, J ;
de la Serna, AR ;
Shoenfeld, Y ;
Bayes-Genis, A ;
Sagie, A ;
de Luna, AB ;
Spodick, DH .
CIRCULATION, 1998, 97 (21) :2183-2185
[2]   Relevance of adenosine deaminase and lysozyme measurements in the diagnosis of tuberculous pericarditis [J].
Aggeli, C ;
Pitsavos, C ;
Brili, S ;
Hasapis, D ;
Frogoudaki, A ;
Stefanadis, C ;
Toutouzas, P .
CARDIOLOGY, 2000, 94 (02) :81-85
[3]   TRANSIENT CARDIAC CONSTRICTION FOLLOWING PURULENT PERICARDITIS [J].
ALLARIA, A ;
MICHELLI, D ;
CAPELLI, H ;
BERRI, G ;
GUTIERREZ, D .
EUROPEAN JOURNAL OF PEDIATRICS, 1992, 151 (04) :250-251
[4]   RAPID RESOLUTION OF SYMPTOMATIC ACUTE PERICARDITIS WITH KETOROLAC TROMETHAMINE - A PARENTERAL NONSTEROIDAL ANTIINFLAMMATORY AGENT [J].
ARUNASALAM, S ;
SIEGEL, RJ .
AMERICAN HEART JOURNAL, 1993, 125 (05) :1455-1458
[5]   THERAPY OF SYMPTOMATIC PERICARDITIS AFTER MYOCARDIAL-INFARCTION - RETROSPECTIVE AND PROSPECTIVE STUDIES OF ASPIRIN, INDOMETHACIN, PREDNISONE, AND SPONTANEOUS RESOLUTION [J].
BERMAN, J ;
HAFFAJEE, CI ;
ALPERT, JS .
AMERICAN HEART JOURNAL, 1981, 101 (06) :750-753
[6]   Serum cardiac troponin I and ST-segment elevation in patients with acute pericarditis [J].
Bonnefoy, E ;
Godon, P ;
Kirkorian, G ;
Fatemi, M ;
Chevalier, P ;
Touboul, P .
EUROPEAN HEART JOURNAL, 2000, 21 (10) :832-836
[7]   SCAR THINNING DUE TO IBUPROFEN ADMINISTRATION AFTER EXPERIMENTAL MYOCARDIAL-INFARCTION [J].
BROWN, EJ ;
KLONER, RA ;
SCHOEN, FJ ;
HAMMERMAN, H ;
HALE, S ;
BRAUNWALD, E .
AMERICAN JOURNAL OF CARDIOLOGY, 1983, 51 (05) :877-883
[8]   ATYPICAL ELECTROCARDIOGRAM IN ACUTE PERICARDITIS - CHARACTERISTICS AND PREVALENCE [J].
BRUCE, MA ;
SPODICK, DH .
JOURNAL OF ELECTROCARDIOLOGY, 1980, 13 (01) :61-66
[9]   The use of adenosine deaminase and interferon-γ as diagnostic tools for tuberculous pericarditis [J].
Burgess, LJ ;
Reuter, H ;
Carstens, ME ;
Taljaard, JJF ;
Doubell, AF .
CHEST, 2002, 122 (03) :900-905
[10]   Comparison of PCR, culture, and histopathology for diagnosis of tuberculous pericarditis [J].
Cegielski, JP ;
Devlin, BH ;
Morris, AJ ;
Kitinya, JN ;
Pulipaka, UP ;
Lema, LEK ;
Lwakatare, J ;
Reller, LB .
JOURNAL OF CLINICAL MICROBIOLOGY, 1997, 35 (12) :3254-3257