June 15th, 2014

Poor prognosis pericarditis

By Daniel Cabrera, M.D.

Poor prognosis Pericarditis (strongly consider admission):

  • High fever (> 38 C)
  • Subacute onset (>1 week)
  • Large pericardial effusion
  • Tamponade
  • Already in NSAIDS for a week
  • Positive troponin
  • Immunocompromised
  • Anticoagulation
  • Trauma

Reference

Imazio, M., Spodick, D. H., Brucato, A., Trinchero, R., & Adler, Y. (2010). Controversial Issues in the Management of Pericardial Diseases. Circulation121(7), 916–928. doi:10.1161/CIRCULATIONAHA.108.844753

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