Pericarditis occurs when the pericardium becomes inflamed or irritated. This inflammation can be caused by a variety of factors, including infection, autoimmune disorders, cancer, heart attack, or injury.
Inflammation of the pericardium can cause chest pain, fever, fatigue, and shortness of breath. These symptoms can worsen when the individual is lying down or when they take deep breaths. In severe cases, pericarditis can lead to complications, including heart failure or cardiac tamponade.
Pericarditis is a relatively common condition, with an estimated incidence of 1 in 1,000 people each year. It can occur at any age, but is most commonly diagnosed in adults between the ages of 20 and 50.
Diagnosing pericarditis typically involves a physical exam, medical history, and diagnostic tests, such as blood tests, chest x-rays, electrocardiogram (ECG) and echocardiogram. In some cases, a pericardiocentesis may be required. A pericardiocentesis involves removing a small amount of fluid from the pericardium for analysis.
Treatment for pericarditis typically involves addressing the underlying cause of inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin, and corticosteroids may be prescribed to reduce inflammation and relieve symptoms. In some cases, colchicine may also be prescribed to prevent recurrence of pericarditis. Antibiotics may be prescribed if the inflammation is caused by an infection.
In severe cases, surgery may be necessary to drain excessive fluid from the pericardium or to remove the inflamed tissue. This is typically done in cases where the individual is at risk of cardiovascular complications or if the pericarditis is recurrent.
Taking steps to prevent pericarditis can include reducing the risk of infections, such as avoiding close contact with individuals who have contagious illnesses or practicing good hygiene. Avoiding triggers that can cause autoimmune disorders, like stress or poor nutrition, can also help to reduce the risk of pericarditis.
Overall, pericarditis is a condition that can cause significant discomfort and potential complications. However, with proper diagnosis and treatment, individuals with pericarditis can manage their symptoms and reduce the risk of recurrence or complications. It is important to speak with a healthcare provider if you experience any symptoms of pericarditis, especially if you have a history of heart or cardiovascular disease.