Doctor insights on:
Pericarditis Echo Findings
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 more
An echocardiogram (also called an echo) is a type of ultrasound test that uses high-pitched sound waves that are sent through a device called a transducer. The device picks up echoes of the sound waves as they bounce off the different parts of your heart. These echoes are turned into moving pictures of your heart that can be seen ...Read more
I have had pericarditis in 2008. My most recent echo showed trace mitral an tricuspid regurgitation and a bright pericardium. What can this mean?
Things to watch:
The trace tricuspid and mitral valve regurgitation may be nothing, but should be followed, or monitored by an echocardiogram, every year or every other year.
The bright pericardium is likely the result of the pericarditis (which is inflammation of the sack the heart sits in)
the worry is that this brightness becomes scar tissue, that could cause some squeezing of the heart, also followed by echo. ...Read more
Lately I've had dull/achy chest, back, shoulder pain, sharp at times in sternum. My Echo was normal, what's the best test to identify pericarditis?
Pleuritis and pericarditis off/on past 2 yrs. Effusions in past. Card says echo clear. Sleep sitting up due to sev pain. Rheum says more pred. Advice?
Echocardiogram shows some global reduction in left ventricular function. No echo features to suggest inflammation/pericarditis. What could cause this?
Decreased EF: Reduced LV function at your age is unusual, and may be due to issue with the heat muscle, infections can do this, certain viral infections are known. You should see a heart doctor to discuss the finding of the 2DE and ascertain as to why there is decreased function. A follow up 2DE should be considered at a certain interval. Best of luck. ...Read more
Can a patient have pericarditis and have a normal chest CT with contrast as well as a normal echo?
Yes - no effusion.: Pericarditis, or "inflammation of the lining of the heart" is a clinical or histologic (microscopic) finding, not (of itself) an (gross) anatomic finding. So, you can irritate the lining without being able to see it- by drugs, viruses, etc. Only if there is a pericardial effusion (fluid from the inflammation build up around the heart) will you see something on CT or echocardiogram. TTYD. ...Read more
Chest pains. Echo scan = septal hypokinesis. Hr 138 BP 138/90. Ambulance to a&e. Doc says possible pericarditis. A&e says muscular skelelightous.
Pericarditis or not?: Pericarditis should not result in septal hypokinesis by echo. You may have myopericarditis (involvement of the heart muscle and the coverings of the heart), or a false-positive finding by echo (sometimes it looks like hypokinesis but it is actually not). Pulse rate is high but does happen with chest pain or discomfort. Your age makes coronary (heart disease) unlikely. You need to see a heart doc! ...Read more
SLE patient. Pulm Dr said she could hear a murmur "all the way up" only on left side. Getting echo. What does this mean and what will echo show? Never knew I had this. Have pleuritis now. Chest pain and sob with exertion x 4 yrs. Hx pericarditis.
Murmur: A heart murmur may be insignificant and just a flow sound or it could be a manifestation of heart valve damage. Usually the loud murmurs and the ones that radiate prominently are significant and in your case, on the left side radiating toward the neck, the aortic valve may be scarred. An echocardiogram will be very revealing in demonstrating scarring and the degree of scarring of heart valves. ...Read more
For 5 yrs I have been taken ibuprofen, prednisone, colchicine etc for pericarditis. There is no more effusion, echo&ekg r now normal but symptoms relapses?
Pericarditis: Discuss with your doctor. Pericarditis can be relapsing and problematic. We need to seek to find an underlying inflammatory process if it is happening. ...Read more
Chest pain, fatigue: The usual symptoms of pericarditis include sharp chest pain, fatigue, shortness of breath, and possibly exercise intolerance. If the process is acute, or sudden onset (often from an infectious etiology), you may also have signs of infection such as fever, headache, muscle aches/pains, etc. ...Read more
Pericarditis: No, pericarditis is generally not considered to be a chronic condition but it can recur in about 15-30% of people who have so-called acute, idiopathic (unknown cause) pericarditis that previously responded to treatment. ...Read more
Not usually: Pericarditis is inflammation of the sack surrounding the heart. Can be painful and life-threatening if associated with significant fluid accumulation compromising blood return to heart. In U.S., there may be infectious causes, e.g., tuberculosis, but these are not transmissible to others. ...Read more
Yes: Assuming that you mean in an airplane, (jk) whether you can fly depends on whether the pericarditis is stable. If you had developed a large pericardial effusion, (fluid around the heart) for instance, you might not be stable to fly or even to leave a hospital. But if you just have benign pericarditis with a little chest pain, you could be stable. ...Read more
Pericarditis: Constrictive pericarditis involves stiffening/thickening/hardening of the pericardium or "heart sack". This can be caused by many disease processes. Constrictive pericarditis results in restricting the filling of the heart which in turn may cause shortness of breath, swelling etc.. ...Read more
Infections and other: This is a stiffening of the normally pliable sac that holds the heart. Infections in the fluid around the heart, and scarring conditions that have no known cause can cause this sac to stiffen and this results in incomplete filling of the heart between beats. This lack of filling can lead to heart failure, as the heart is incapable of pumping blood as efficiently. It is a rare condition. ...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
Scar formation: Scar formation in the sac enclosing the heart leads to constriction of the heart and interfere with the pumping function. It causes back-up of blood in the liver and may present as heart failure. It may result from healed infections, e.g., tuberculosis or late effect of radiation to the chest. ...Read more