Symptom >> Internal Medicine >> Cardiology

Inflammation of the pericardium

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction The pericardium is a fibrous membrane that surrounds the heart. The lumen of the membrane is a smooth, smooth serosa that continues with the epicardium. That is, the pericardium, but some refer only to the wall layer of the pericardium. It consists of two layers, inner and outer. Supports the heart, protects and prevents the heart from over-expanding.

Cause

Cause

There are many causes of pericarditis, including infections (such as oxacinvirus, tuberculosis), cancer, uremia, myocardial infarction, trauma (such as traffic accidents), electrotherapy, autoimmune diseases, and hypothyroidism.

Examine

an examination

Related inspection

Chest CT examination chest radiograph electrocardiogram

Pericarditis: severe chest pain, tingling, can be radiated to the left shoulder, arms, and even the stomach. Sitting down and leaning forward can help relieve pain, and the pain is increased by lying down, inhaling, coughing, and swallowing. The doctor may hear a sharp rubbing of the heart with a stethoscope.

Bundle conjunctivitis: usually manifested as right heart failure, such as hepatosplenomegaly, edema, ascites, jugular vein dilation, etc.

Doctors use stethoscopes, chest X-rays, cardiac ultrasound, and electrocardiograms to aid diagnosis.

Diagnosis

Differential diagnosis

The pericardial inflammatory condition needs to be differentiated from the following symptoms :

Pericardial hydrops: As the pericardial effusion becomes more and more, the rubbing sound of the pericardium will disappear, but the water will press the heart, causing heart failure (dyspnea, jugular vein dilatation, edema, liver and spleen) Swelling, etc.) If the water is so fast, even if it is only 200 ml, it is enough to make the heart adapt to it for a while, and there is a more terrible "heart stuffing" than heart failure.

Heart tamponade: The heart is stuffed because the pericardial effusion is severe, the heart is stressed and difficult to load, the patient's blood pressure drops drastically, and life is at stake.