Diagnosing and Treating Pericarditis and Myocarditis in the Emergency Department | Points & Pearls
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Diagnosing and Treating Pericarditis and Myocarditis in the Emergency Department

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  • The pathologies of pericarditis and myocarditis can exist on a continuum, and there is significant overlap in etiologies and presentations. Inflammatory cardiomyopathy is myocarditis in association with cardiac dysfunction.4 Fulminant myocarditis is sudden and severe myocarditis resulting in myocyte necrosis, edema, and cardiogenic shock.6
  • The pericardium normally contains 15-50 mL of fluid; 100 mL of fluid has potential to cause tamponade physiology.
  • Pericarditis can be classified into 4 clinical types: acute, incessant, recurrent, and chronic.
  • Table 2 outlines the diagnostic criteria for determining pericarditis type.
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Publication Information
Authors

Morgan McGuire, MD; Warren Harvey, MD; Tucker Brady, DO; Alexandre D. Nguyen, MD, FAAEM

Peer Reviewed By

William Brady, MD, FACEP, FAAEM; Joseph Toscano, MD

Publication Date

July 1, 2023

CME Expiration Date

July 1, 2026    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-B Credits.

Pub Med ID: 37352407

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