Poor prognosis pericarditis

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. Circulation, 121(7), 916–928. doi:10.1161/CIRCULATIONAHA.108.844753