Skip to main content

Acute and Recurrent Pericarditis

  • Chapter
  • First Online:
Management of Pericardial Disease

Abstract

Acute and recurrent pericarditis are the most common disorders involving the pericardium. There are few available epidemiological data and the exact incidence and prevalence of acute and recurrent pericarditis are unknown. However, acute pericarditis is recorded in about 0.1 % of hospitalized patients and 5 % of patients admitted to the Emergency Department for non-ischemic chest pain [1, 2]. In an observational study from an urban area in Northern Italy the incidence of acute pericarditis was 27.7 cases per 100,000 persons per year [3].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Imazio M. Contemporary management of pericardial diseases. Curr Opin Cardiol. 2012;27(3):308–17.

    Article  PubMed  Google Scholar 

  2. Lilly LS. Treatment of acute and recurrent idiopathic pericarditis. Circulation. 2013;127(16):1723–6.

    Article  PubMed  Google Scholar 

  3. Imazio M, Cecchi E, Demichelis B, Chinaglia A, Ierna S, Demarie D, Ghisio A, Pomari F, Belli R, Trinchero R. Myopericarditis versus viral or idiopathic acute pericarditis. Heart. 2008;94(4):498–501.

    Article  CAS  PubMed  Google Scholar 

  4. Imazio M, Brucato A, Cemin R, Ferrua S, Belli R, Maestroni S, Trinchero R, Spodick DH, Adler Y, CORP (Colchicine for Recurrent Pericarditis) Investigators. Colchicine for Recurrent Pericarditis (CORP): a randomized trial. Ann Intern Med. 2011;155(7):409–14.

    Article  PubMed  Google Scholar 

  5. Imazio M, Brucato A, Cemin R, Ferrua S, Maggiolini S, Beqaraj F, Demarie D, Forno D, Ferro S, Maestroni S, Belli R, Trinchero R, Spodick DH, Adler Y, The ICAP Investigators. A randomized trial of colchicine for acute pericarditis. N Engl J Med. 2013;369:1522–28.

    Article  CAS  PubMed  Google Scholar 

  6. Soler-Soler J, Sagristà-Sauleda J, Permanyer-Miralda G. Relapsing pericarditis. Heart. 2004;90(11):1364–8.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Imazio M, Adler Y. Management of pericardial effusion. Eur Heart J. 2013;34(16):1186–97.

    Article  PubMed  Google Scholar 

  8. Syed FF, Sani MU. Recent advances in HIV-associated cardiovascular diseases in Africa. Heart. 2013;99(16):1146–53.

    Article  PubMed  Google Scholar 

  9. Imazio M, Spodick DH, Brucato A, Trinchero R, Adler Y. Controversial issues in the management of pericardial diseases. Circulation. 2010;121(7):916–28.

    Article  PubMed  Google Scholar 

  10. Imazio M, Brucato A, Trinchero R, Adler Y. Diagnosis and management of pericardial diseases. Nat Rev Cardiol. 2009;6(12):743–51.

    Article  PubMed  Google Scholar 

  11. Imazio M, Cecchi E, Demichelis B, Ierna S, Demarie D, Ghisio A, Pomari F, Coda L, Belli R, Trinchero R. Indicators of poor prognosis of acute pericarditis. Circulation. 2007;115(21):2739–44.

    Article  PubMed  Google Scholar 

  12. Imazio M, Trinchero R. Triage and management of acute pericarditis. Int J Cardiol. 2007;118(3):286–94.

    Article  PubMed  Google Scholar 

  13. Imazio M, Brucato A, Derosa FG, Lestuzzi C, Bombana E, Scipione F, Leuzzi S, Cecchi E, Trinchero R, Adler Y. Aetiological diagnosis in acute and recurrent pericarditis: when and how. J Cardiovasc Med (Hagerstown). 2009;10(3):217–30.

    Article  Google Scholar 

  14. Spodick DH. Risk prediction in pericarditis: who to keep in hospital? Heart. 2008;94(4):398–9.

    Article  PubMed  Google Scholar 

  15. Klein AL, Abbara S, Agler DA, Appleton CP, Asher CR, Hoit B, Hung J, Garcia MJ, Kronzon I, Oh JK, Rodriguez ER, Schaff HV, Schoenhagen P, Tan CD, White RD. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr. 2013;26(9):965–1012.e15.

    Article  PubMed  Google Scholar 

  16. Cheitlin MD, Armstrong WF, Aurigemma GP, et al. ACC/AHA/ASE 2003 Guideline for the clinical application of echocardiography. www.acc.org/qualityandscience/clinical/statements.htm. Accessed on 24 Aug 2006.

  17. Lazaros G, Vlachopoulos C, Stefanadis C. Extensive infectious panel testing for acute pericarditis: a ghost hunt? Cardiology. 2011;119(3):131–3.

    Article  PubMed  Google Scholar 

  18. Imazio M, Brucato A, Mayosi BM, Derosa FG, Lestuzzi C, Macor A, Trinchero R, Spodick DH, Adler Y. Medical therapy of pericardial diseases: part I:idiopathic and infectious pericarditis. J Cardiovasc Med (Hagerstown). 2010;11(10):712–22.

    Google Scholar 

  19. Imazio M, Brucato A, Mayosi BM, Derosa FG, Lestuzzi C, Macor A, Trinchero R, Spodick DH, Adler Y. Medical therapy of pericardial diseases: part II: noninfectious pericarditis, pericardial effusion and constrictive pericarditis. J Cardiovasc Med (Hagerstown). 2010;11(11):785–94.

    Article  Google Scholar 

  20. Imazio M, Adler Y. Treatment with aspirin, NSAID, corticosteroids, and colchicine in acute and recurrent pericarditis. Heart Fail Rev. 2013;18(3):355–60.

    Article  CAS  PubMed  Google Scholar 

  21. Imazio M. Treatment of recurrent pericarditis. Expert Rev Cardiovasc Ther. 2012;10(9):1165–72.

    Article  CAS  PubMed  Google Scholar 

  22. Imazio M, Brucato A, Maestroni S, Cumetti D, Dominelli A, Natale G, Trinchero R. Prevalence of C-reactive protein elevation and time course of normalization in acute pericarditis: implications for the diagnosis, therapy, and prognosis of pericarditis. Circulation. 2011;123(10):1092–7.

    Article  CAS  PubMed  Google Scholar 

  23. Imazio M, Brucato A, Trinchero R, Spodick D, Adler Y. Individualized therapy for pericarditis. Expert Rev Cardiovasc Ther. 2009;7(8):965–75.

    Article  CAS  PubMed  Google Scholar 

  24. Imazio M, Brucato A, Cumetti D, Brambilla G, Demichelis B, Ferro S, Maestroni S, Cecchi E, Belli R, Palmieri G, Trinchero R. Corticosteroids for recurrent pericarditis: high versus low doses: a nonrandomized observation. Circulation. 2008;118(6):667–71.

    Article  CAS  PubMed  Google Scholar 

  25. Khandaker MH, Schaff HV, Greason KL, Anavekar NS, Espinosa RE, Hayes SN, Nishimura RA, Oh JK. Pericardiectomy vs medical management in patients withbrelapsing pericarditis. Mayo Clin Proc. 2012;87(11):1062–70.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Imazio M, Brucato A, Maestroni S, Cumetti D, Belli R, Trinchero R, Adler Y. Risk of constrictive pericarditis after acute pericarditis. Circulation. 2011;124(11):1270–5.

    Article  PubMed  Google Scholar 

  27. Imazio M, Brucato A, Adler Y, Brambilla G, Artom G, Cecchi E, Palmieri G, Trinchero R. Prognosis of idiopathic recurrent pericarditis as determined from previously published reports. Am J Cardiol. 2007;100(6):1026–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Massimo Imazio MD, FESC .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Imazio, M. (2014). Acute and Recurrent Pericarditis. In: Herzog, E. (eds) Management of Pericardial Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-06124-5_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-06124-5_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-06123-8

  • Online ISBN: 978-3-319-06124-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics