Doctor insights on:
Heart Affected Pericarditis
You are describing pericarditis, an inflammation of the tissue sac surrounding the heart. It typically causes pain in the chest and sometimes radiates to the side of the neck and back. It can be accompanied by fever, rapid heartbeat, a characteristic "rub" heard with a stethoscope, and characteristic abnormalities on an electrocardiogram. It can be caused by a virus, ...Read more
Difficult diagnosis: First a few definitions because this field is fraught with poor nomenclature: acute pericarditis is most often not diagnosed by echocardiography. Chronic pericarditis which can lead to constriction (also called constrictive pericarditis) can often be suspected on echo (something called ventricular interdependence). Cardiac mri, cardiac ct and cardiac catheterization can help confirm the diagnosis. ...Read moreSee 2 more doctor answers
What is the difference between the symptoms of pericarditis (that develops rapidly over the course of an hour) and a heart attack?
Different: Pericarditis is worse with deep breath/cough. It hurts to shake your chest like the slap of your foot on the pavement when walking. It's worse lying on your back & better sitting forward. Heart attack can mimic this because some heart attacks have associated pericarditis, but in general, they feel different: heart attack usually is a squeezing, tight central feeling without change for hours. ...Read moreSee 1 more doctor answer
Anti-inflammatories: In the short term, anti-inflammatory medications such as indomethicin, prednisone, or even Aspirin may help. A search for a correctable cause is usually warranted. In some cases, fluid (if present) may be withdrawn from the pericardial sac for both diagnosis and relief of symptoms. It may be necessary to open or remove the pericardium in more severe cases. ...Read more
Would my cardiologist have noticed pericarditis on my heart ultra sound ? I'm worried I may have that .
Doubtful: Not sure what worries about pericarditis, but it is a diagnosis usually made based on symptoms, exam (rub) and ECG. If you don't have typical symptoms, a rub and ECG findings, it is unlikely you have pericarditis. ...Read more
Dx with pericarditis x 6 mo. Have chronic nausea. I looked it up and it is a symptom of pericarditis, but why would a heart issue cause nausea?
I have a history of pericarditis and every time i eat or drink something my heart rate goes up by about 30-40bpm hospital doesn't know whats wrong?
Get a second opinion: Pericarditis is a complex syndrome with many causes. If your local doctor does not have a solution then you should probably get a second opinion. ...Read more
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