Doctor insights on:
What Is The Difference Between Endocarditis And Pericarditis
An infection of the inner lining of your heart. It generally occurs when bacteria or other germs from another part of your body, such as your mouth, spread through your bloodstream and attach to damaged areas in your heart. Left untreated, endocarditis can damage or destroy your heart valves and can ...Read more
Carditis: Endo- is the lining of the heart, peri is the covering over thehe art. ...Read more
Similar & different: Infection can cause all three of these entities, however combination of all three is rather uncommon. Endocarditis is typically caused by a bacteria and rarely as an end result of major illness (lupus, etc.), myocarditis is very typically viral in etiology, and pericarditis can be infectious in etiology, or due to radiation, connective tissue disease (lupus or the like) or renal failure. ...Read more
Can you define pericarditis, myocarditis, and endocarditis. How do these various conditions differ? How are they diagnosed and treated?
It varies: Pericarditis is inflammation of the sac around the heart that is often treated with antiinflammatories but may need surgery. Myocarditis can be a serious, often viral infection of the heart muscle. Treatment could be medication, artificial heart support or even a transplant. Endocarditis is an infection of the heart valves that may respond to antibiotics but might need a valve replacement. ...Read more
See below: Infective endocarditis is infection of one or more heart valves by a microorganism. Non-infective endocarditis is inflammation of a heart valve not caused by an infection. Nonbacterial thrombotic endocarditis is found in patients with malignancy, chronic wasting diseases, rheumatic and congenetal heart diseases and autoimmune diseases such as sle. ...Read more
Restricted vs constr: To oversimplify, one squeezes the heart from outside and the other restricts from stiffening within the heart wall. ...Read more
Several: Constrictive pericarditis is a condition where the sac around the heart (the pericardium) becomes scarred and shrinks, which does not allow the heart to fill fully. Restrictive cardiomyopathy is a condition where the pericardium is normal, but the heart muscle itself is diseased in a way that does not allow the muscle to relax and the ventricle to fill. The treatment for each is different. ...Read more
Intrinsic/extrinsic: Restrictive cardiomyopathy involves the heart itself becoming stiff and not filling properly which eventually can cause heart failure and need a transplant to treat. Constrictive pericarditis affects the sac around the heart entrapping the heart and causing similar symptoms but may be treated if needed by removing the sac from around the heart by surgery ...Read more
Similar but differen: Constrictive pericarditis and restrictive cardiomyopathy both result in diastolic abnomlities of ventricular filling. CP can be thought of as a heart encased in a porcelain shell. In CP the ventricles fill up until the limits of the calcified pericardium (early filling) and then fill no more. In rc the heart is abnormal. Filling throughout diastole is slowed but possible. Doppler can help. ...Read more
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 more
What is the difference between pericarditis and angina? Years ago I had test done in the er, was told there was swelling in the middle of my chest.
Pain can be in same area.
But cause very different!
pericarditis is inflammation of the sac which surrounds the heart like a ziplock bag!
angina is ischemic pain of the heart muscle from coronary disease.
Some heart attacks will have pericardial, irritation, fluid, blood as part of the process. ...Read more
What is the difference between restrictive cardiomyopathy and constrictive pericarditis of the heart disease?
Anatomy: Restriction and constriction both involve limitation to adequate filling of the heart when the heart is relaxing. In restriction, limitation is in the muscle of the heart. In construction, the limitation is in the pericardial sac which surrounds the heart. ...Read more
Different organs: The pericardium is a membrane that surrounds and protects the heart. When it is inflammed, for example by infection, the condition is called 'pericarditis'. The pleura are two membranes that surround and protect the lungs. Inflammation of these structures is called 'pleuritis' or 'pleursy'. The two structures are close to eachother, so symptoms can overlap. ...Read more
Disease Location: In constrictive pericarditis the pathology is located in the pericardium surrounding the heart. In restrictive heart disease, the pathology is located within the muscle the heart. The clinical presentation may be quite similar. ...Read more
As a lupus patient who has a lot of chest pain, how do I tell the difference between pericarditis and costochondritis?
See below: Pericarditis is an inflammation of the lining of the heart (pericardium). Pericardectomy is a surgical procedure that strips the pericardium from the heart. This is done to treat complications from pericarditis usually as a last resort when other treatments have been ineffective. ...Read more
Different cause: Symptoms may be similar but treatment is very different. The pericardium can be opened or removed to relieve constriction but restrictive cardiomyopathy does not lend itself to a quick surgical treatment. A number of medications may ameliorate the symptoms but it is important to identify and treat the cause. ...Read more
Can any one please explain what are the differences between adult infective endocarditis and pediatric infective endocarditis?
They are similar:
Both are life-threatening conditions that involve bacteria growing on the valves of the heart. Bacteria from the body or from tics can cause overwhelming illness, or destroy the electrical system of the heart.
Because adults tend to have stiffer hearts with more calcium deposits, surgery is more often needed to cure the illness.
Either way, long courses of intravenous antibiotics are needed. ...Read more
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
Is there a possible connection between pericarditis and pinched nerve (s) in your back? Had peri 8 weeks ago and my back/rib cage still hurt pretty bad
Yes it is a possible: That there could be referred pain or that you may have some muscular pain or myalgias from your infection in that region. It could also be just muscular pain from being inactive while you were sick. The other remote possibility is that the infection may have spread to the spine if it was a bacterial infection so if the pain is increasing or persisting tell your physician. ...Read more
Yes: Recurrence rates are quoted as high as a 20% chance of having a second episode of endocarditis. ...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
Limited treatment: Constrictive pericarditis describes a situation in which the sac around the heart has gotten very stiff - usually as a result of prior inflammation from either infection or maybe open heart surgery - and as a result does not allow the heart muscle to expand whenever it needs to in order to accept more blood returning from the body or the lung. Surgery is the only effective treatment once symptoms. ...Read more
Let me help: Pleurisy is an inflammation of the pleura, the lining of the pleural cavity surrounding the lungs. The inflamed pleural layers rub against each other every time the lungs expand to breathe in air. This can cause severe sharp pain with inhalation. In pericarditis characteristic chest pain is often present. Which is relieved by sitting up and bending forward and worsened by lying down or inspiration. ...Read more
Endocarditis: Infective Endocarditis (IE) is a serious disease cause by both bacteria/fungi infecting the inner lining of the heart (endocardium). It requires aggressive antibiotic/fungal treatment-but can also include surgery to repair/replace heart valves effected. The usual cause of death is congestive heart failure - neurologic complication are also often seen. Mortality can be 20-25% even with treatment. ...Read more
Moot: C-reactive protein is neither very sensitive or very specific for much of anything. At best, it is one piece of information. If there is any real concern that this may be endocarditis, ultrasonography of the heart and blood cultures should be performed ...Read more
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