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The onset of purulent pericarditis is usually acute, with most individuals presenting to a medical facility approximately 3 days following the onset of symptoms. [4] As a subtype of pericarditis, purulent pericarditis often presents with substernal chest pain that is exacerbated by deep breathing and lying in the supine position. [5]
Symptoms typically include sudden onset of sharp chest pain, which may also be felt in the shoulders, neck, or back. [1] The pain is typically less severe when sitting up and more severe when lying down or breathing deeply. [1] Other symptoms of pericarditis can include fever, weakness, palpitations, and shortness of breath. [1]
Recovery from pericardial effusion treated with pericardiectomy is typically very good. However, its use for treating constrictive pericarditis has a fairly high mortality rate , initially between 5% and 15%.
Treatments for pericarditis vary by severity. According to the American Heart Association, acute pericarditis can last from one to three weeks while chronic pericarditis lasts three months or longer.
Pericarditis “Chest pain may be sharp and stabbing, come and go, and change with position.” It may be caused by viral, bacterial , or fungal infections and sometimes happens after heart ...
Some people might have other symptoms along with chest discomfort that can signal a heart attack. In particular, women can have excessive sweating , vomiting or nausea, Blankstein says.
For acute pericarditis to formally be diagnosed, two or more of the following criteria must be present: chest pain consistent with a diagnosis of acute pericarditis (sharp chest pain worsened by breathing in or a cough), a pericardial friction rub, a pericardial effusion, and changes on electrocardiogram (ECG) consistent with acute pericarditis ...
Constrictive pericarditis is a condition characterized by a thickened, fibrotic pericardium, limiting the heart's ability to function normally. [1] In many cases, the condition continues to be difficult to diagnose and therefore benefits from a good understanding of the underlying cause.