Doctor insights on:
Most Common Cause Of Pericarditis
Pericarditis: Pericarditis is inflammation of the tissue covering of the heart. It is commonly caused by viruses and sometimes other infections or inflammatory diseases. There are other causes also. The viral form generally goes away itself but can recur. Other forms may need special treatment like drainage of the pericardial sac to remove fluid if it interferes with heart function. ...Read more
Multiple: Pericardial inflammation can occur from renal failure, tb, malignancy, bacterial infection or most commonly, viral inflammation. Also rheumatoid disease and other autoimmune problems. After a heart attack, dressler's syndrome is inflammation of the pericardium and after heart surgery, blood or fluid can accumulate and cause inflammation. Radiation is also a source. All can lead to constrictive per. ...Read more
Lupus, rheumatoid arthritis and scleroderma, can cause pericarditis. Kidney failure (uremic pericarditis), tumors, genetic diseases such as familial mediterranean fever, or rarely, medications that suppress the immune system can also be the cause.
In a number of cases of pericarditis, the cause is unknown. This is referred to as idiopathic pericarditis. ...Read more
Yes but rarely: Blunt trauma to the chest, with or without rib injuries, is a recognized but rare cause of pericarditis. ...Read more
Why do I keep getting recurring episodes of pericarditis? Will it cause harm to me later on in life?
Pericarditis: Relapses can occur w/ idiopathic ("we don't know what caused it") pericarditis, an inflammation of the sac around the heart. Treatment w/ steroids may increase the chance of chronic relapses, so trying to treat it w/ nonsteroidal drugs is probably best. Other causes of pericarditis include autoimmune disorders eg, lupus. Consult an internal medicine, cardiology, or rheumatology doctor. ...Read more
Venous Pressure: There is increased venous pressure because the venous return is impaired. ...Read more
Unlikely: If the source of myoglobin is cardiac, troponin will be positive as well. If myoglobin was elevated with a negative troponin, other possible sources of myoglobin should be considered. Discuss with your doctor. ...Read more
Constrictive pericar: Causes a decrease of inflow of blood into the right atrium and right ventricle so blood backs up into the liver. ...Read more
Yes, but: Pericarditis is possible as a cause of chest pain at 16 but not a common one. Things like pain within the moving joints of the chest bone, heart burn from stomach backwash or pleursy from the lung linings would be more common. If the pain intensifies with laying down but less so when upright your pcp may want to consider an ekg and cardiac enzymes to rule this out. ...Read more
Usually not: Usually not but a small % may develop constrictive pericarditis. ...Read more
Dx chronic pericarditis. Sleep in recliner sitting up. Pain is worse lying down but best standing up. What exactly causes the positional pain?
Chronic pericarditis: We believe the pain is caused by the rubbing of the inflamed pericardium with the surface of the heart. We treat the condition with anti inflammatory agents and sometimes with pain medications if the anti inflammation drugs don't do the job. Discuss your ongoing symptoms with your doctor. ...Read more
How long does it take for a mod-large pericardial effusion to go away from pericarditis? Also why does pericardial effusion caused pain down left side
Doesn't go away w/o t: A pericardial effusion doesn't normally go away without treatment or drainage. Which to choose depends on the cause of the effusion (viral? Thyroid? Cancer?) How long treatment takes to get rid of the fluid (& the likelihood that it will come back) also depends on the cause. Talk to an experienced cardiologist for help if you don't have a diagnosis. Best of luck! Thanks for asking HealthTap! ...Read more
Pericarditis: Pericarditis typically has a relatively benign course in uncomplicated cases. Conversely, patients with high-risk features (ie, high fever, large pericardial effusion, cardiac tamponade, failure to respond to antiinflammatory therapy) are at increased risk of short-term complications. Leg swelling is not a common presentation of pericarditis, but could potentially be a feature of heart failure. ...Read more
No, but: It isn't common but certain auto-immune diseases could cause both problems. ...Read more
Not until very late: Normally the right sided diastolic pressure increases, and will equalize with the right atrial and pulmonary capillary wedge pressure. If the disease persists to the point where left ventricular failure occurs, then the right ventricular systolic will rise. This is very late in the disease and the patient is very sick at that time. Look for other causes of high rv pressure, ie valve, lung issues. ...Read more
I've had pericarditis for quite a while and learned hashimoto's runs in my family. Can it be the cause?
What is the difference in chest pain caused by scalene trigger points versus pain caused by pericarditis? Could one be confused for the other?
Could be similar: Pericarditis causes sharp chest pain relieved by sitting up, leaning forward; it often radiates to the left lateral neck muscle (trapezius). Like the low-back muscles which can experience spasm associated with pain radiating down the leg, the cervical spine (neck) muscles attach to the 1st 2 ribs and can cause pain in the head, arm, back and chest, relieved by physiotherapy or acupuncture. ...Read more