acute pericarditis

related: Cardiology, myocarditis myopericarditis
tags: #cardiology

Naproxen in combination with colchicine is the treatment of choice for most patients with idiopathic or viral acute pericarditis.
Avoid nsaids other than aspirin and glucocorticoids for peri-infarction pericarditis due to decreased healing and increased rupture risk
1st line: high-dose aspirin (eg, 650 mg 3 times a day) for symptomatic relief.
- High-dose aspirin is believed to provide analgesia and anti-inflammatory effect while having a relatively small effect on myocardial healing and scar formation compared to other anti-inflammatory drugs (eg, other nonsteroidal anti-inflammatory drugs (NSAIDS, glucocorticoids).

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Acute Pericarditis vs Mediastinitis After CABG
acute pericarditis vs mediastinitis after CABG
- related: acute pericarditis
- tags: #cardiology
This patient's clinical presentation is consistent with postpericardiotomy syndrome (PCIS) after recent CABG. PCIS is likely due to surgical damage of the mesothelial pericardial cells with resultant blood in the pericardial space, which causes an autoimmune response against the released cardiac antigens. The immune complexes deposit and cause inflammation in the pe