CardiologyEmergency Medicine
Acute Pericarditis
ESC 2015 — diagnosis (≥2 of 4 criteria), differentiate from MI, NSAID + colchicine, recognise tamponade and myopericarditis.
Source: ESC 2015 Pericardial Diseases
Step 1 of ~5
info
Diagnostic Criteria
Diagnose if ≥2 of: pleuritic chest pain (sharp, worse lying flat, better leaning forward); pericardial friction rub; widespread saddle ST elevation + PR depression on ECG (also PR elevation in aVR); new/worsening pericardial effusion. Bloods: troponin (myopericarditis if ↑), CRP, FBC, U&E. Echo all patients (effusion, tamponade, LV function).
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Colchicine (Pericarditis / Post-MI Inflammation) · Pericarditis / Coronary Inflammation
- Colchicine (Acute Gout) · Anti-Inflammatory (Microtubule Inhibitor)
- Dexketoprofen (Acute Musculoskeletal Pain) · NSAID — Non-selective COX Inhibitor (S-enantiomer of Ketoprofen)
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
Pathways
- 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
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