Pericarditis Diagnostic Score (Imazio Criteria)
Diagnoses acute pericarditis and stratifies for inpatient admission using Imazio high-risk criteria. Guides aspirin/NSAID + colchicine therapy.
Score interpretation
→ Aspirin 750-1000mg 8h for 1-2 weeks + colchicine 0.5mg BD 3 months; activity restriction until symptom-free; outpatient management; avoid NSAIDs if TB/post-MI suspected
→ NSAIDs (ibuprofen 600mg 8h) + colchicine; rest; avoid competitive sports for 3 months; echocardiogram; CRP-guided therapy duration; cardiology follow-up
→ Hospital admission; cardiac monitoring; echocardiogram; exclude bacterial/TB aetiology; consider pericardiocentesis if tamponade; hold NSAIDs and start IV steroids if bacterial not excluded
Interpretation bands for the Pericarditis Score. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Colchicine (Pericarditis / Post-MI Inflammation) · Pericarditis / Coronary Inflammation
- Metoprolol (IV/Oral — Cardiology) · Beta-Blocker
- Aspirin (Antiplatelet — ACS/PCI) · Antiplatelet / ACS
- Aspirin · Antiplatelet / NSAID / Antipyretic / Analgesic
- Methotrexate (Dermatology — Psoriasis) · Disease-Modifying Antirheumatic / Immunosuppressant
- Colchicine · Anti-inflammatory — Neutrophilic Dermatoses / Vasculitis
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.