Seasonal patterns of acute and recurrent idiopathic pericarditis

Hammer, Yoav; Bishara, Jihad; Eisen, Alon; Iakobishvili, Zaza; Kornowski, Ran; Mager, Aviv

doi:10.1002/clc.22804

Cited by 18 publications

(4 citation statements)

References 14 publications

(29 reference statements)

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“…This rate was twice as high in the colder half of the year (October -March) compared to the warmer one (April -September, p = 0.001). The average CRP concentration in the first quarter of the year was 11.5mg / dl (mean 9), while in the remaining quarters of the year 14.1mg / dl (mean 20.3), so they were definitely lower than those observed in the presented patient [21].…”

Section: Discussionmentioning

confidence: 50%

A clinical case of a 21-year-old patient with idiopathic acute exudative pericarditis

Wołowiec,

Rogowicz,

Bujak

et al. 2023

J Educ Health Sport

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act Pericarditis is a disease entity associated with the primary or secondary inflammation of its layers, which may be accompanied by the accumulation of fluid in the pericardial sac, the consequences of which depend mainly on the speed of its accumulation. The causes of pericardial diseases can be divided into infectious or non-infectious diseases, but in about 30% of cases the etiology of the disease cannot be determined. Pericarditis causes 5% of all emergency department visits related to non-ischemic chest pain. In the study we presented a case of a 21-year-old Caucasian male with acute exudative pericarditis, which required drainage of the pericardial sac despite the use of pharmacological treatment. The patient underwent a wide range of diagnostic tests and specialist consultations, but ultimately the etiological factor of acute exudative pericarditis could not have been identified. The therapy of acute exudative pericarditis, especially in the case of undetermined etiology, requires an individualized approach from the attending physician. Based on the observation of inflammatory parameters, imaging tests and clinical picture, the physician is to decide whether pericardiocentesis or modification of pharmacological treatment is necessary. Searching for the etiological factor is essential if it has an impact on the successive methods of diagnosis and treatment, especially in patients with recurrent idiopathic pericarditis or in the absence of a response to the therapy.

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Section: Discussionmentioning

confidence: 50%

A clinical case of a 21-year-old patient with idiopathic acute exudative pericarditis

Wołowiec,

Rogowicz,

Bujak

et al. 2023

J Educ Health Sport

View full text Add to dashboard Cite

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“…Nos países desenvolvidos, calcula-se que os vírus sejam os agentes etiológicos mais prevalentes, uma vez que um episódio agudo de pericardite é, muitas vezes, precedido por uma síndrome gastrointestinal ou semelhante à gripe 21 . Foi observado um aumento na incidência de pericardite aguda durante o inverno 22 . Maisch et al 23 observaram que somente 14% dos casos são de origem infecciosa, seja viral ou bacteriana, sendo Mycobacterium tuberculosis, Borrelia burgdorferi, Parvovírus B19 e vírus Epstein-Barr os agentes mais prevalentes.…”

Section: Etiologiaunclassified

Etiologia, Diagnóstico E Tratamento Das Doenças Do Pericárdio

Brito,

Chacon,

Queiroz

et al. 2024

Coração Em Foco: Explorando Os Aspectos Fundamentais Da Saúde Cardíaca

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“…Classically, causes are divided into infectious vs. non-infectious etiologies (Table 1 ) [ 2 – 6 ]. The most common identifiable etiology is viral in origin in developed countries [ 7 , 8 ], whereas in the developing world, tuberculosis (TB) is the most frequent etiology [ 6 , 9 ]. In the majority of cases, the underlying etiology cannot be identified and such cases are termed “idiopathic” [ 10 , 11 •, 12 ].…”

Section: Etiology (Table 1 )mentioning

confidence: 99%

Pediatric Pericarditis: Update

et al. 2023

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Purpose of Review While there have now been a variety of large reviews on adult pericarditis, this detailed review specifically focuses on the epidemiology, clinical presentation, diagnosis, and management of pediatric pericarditis. We have tried to highlight most pediatric studies conducted on this topic, with special inclusion of important adult studies that have shaped our understanding of and management for acute and recurrent pericarditis. Recent Findings We find that the etiology of pediatric pericarditis differs from adult patients with pericarditis and has evolved over the years. Also, with the current COVID-19 pandemic, it is important for pediatric clinicians to be aware of pericardial involvement both due to the infection and from vaccination. Oftentimes, pericarditis maybe the only cardiac involvement in children with COVID-19, and so caregivers should maintain a high index of suspicion when they encounter children with pericarditis. Summary Large-scale contemporary epidemiological data regarding incidence and prevalence of both acute and recurrent pericarditis is lacking in pediatrics, and future studies should focus on highlighting this important research gap. Most of the current management strategies for pediatric pericarditis are from experiences gathered from adult data. Pediatric multicenter trials are warranted to understand the best management strategy for those with acute and recurrent pericarditis. Case Vignette A 6-year-old child with a past history of pericarditis almost 2 months ago comes in with a 2-day history of chest pain and fever. Per mother, he stopped his steroids about 2 weeks ago, and for the last 2 days has had a temperature of 102F and has been complaining of sharp mid-sternal chest pain that gets worse when he lies down and is relieved when he sits up and leans forward. On examination, he is tachycardic (heart rate 160 bpm), with normal blood pressure for age. He appears to be in pain (5/10), and on auscultation has a pericardial friction rub. His lab studies are notable for elevated white blood cell count and inflammatory markers (CRP and ESR). His electrocardiogram reveals sinus tachycardia and diffuse ST-elevation in all precordial leads. His echocardiogram demonstrates normal biventricular function and a trace pericardial effusion. His cardiac MRI confirms recurrent pericarditis. He is started on indomethacin and colchicine. He has complete resolution of his symptoms by day 3 of admission and is discharged with close follow-up.

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Seasonal patterns of acute and recurrent idiopathic pericarditis

Abstract: Acute idiopathic pericarditis appears to have a seasonal pattern with a distinct late winter peak. No seasonal pattern was identified for recurrent episodes.

Cited by 18 publications

References 14 publications

A clinical case of a 21-year-old patient with idiopathic acute exudative pericarditis

A clinical case of a 21-year-old patient with idiopathic acute exudative pericarditis

Etiologia, Diagnóstico E Tratamento Das Doenças Do Pericárdio

Pediatric Pericarditis: Update

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