00:01 What we’re trying accomplish here is to differentiate the pericardium from rest of the heart. 00:08 We spend quite a bit of time with endocarditis specifically in the ram of valvular heart disease. 00:14 Will looked at myocarditis. And we started categorizing it into a restrictive, inter-hypertrophic and dilated. 00:21 Remember, dilated cardiomyopathy and hypertrophic cardiomyopathy will be quite common in developed countries. If its restrictive cardiomyopathy quite rare in developed countries. 00:31 In developing countries, a little bit more common. And by that, we mean subcontinent of Asia, Africa. 00:40 Pericardium, what is it? Well, it’s the outer layer and there should be a little bit of fluid in the pericardial cavity. 00:49 And a little bit of fluid within the pericardial cavity then represents the prevention of friction. 00:56 Species of a heart is being incredibly pumped, has to be. 01:00 Well, our topic with pericarditis will be one in which there’s information taking place of the pericardium, as you would see here. 01:08 And what is your next step of management? Oh, it depends. 01:13 If you had, let’s say left ventricle rupture and you suddenly filled up the pericardial sac with fluid, and if it’s only just a little bit, a what you would think at the time is being amazedly 200 milliliters. 01:25 But if rapidly gets in there, it might them cause massive restriction, welcome to tamponade. 01:31 Or, if there was a leakage of fluid into pericardial cavity, and it took time, and it got them to maybe even 1200. 01:41 Well, if you took time for the fluid to accumulate in the pericardial cavity, it’s not of acute nature. 01:46 And so therefore, you will not call that cardiac tamponade. The risk of death at that point, thank goodness is decreased. 01:53 So is really at this point for you to walk through the journey of pericarditis. 01:59 And how do you distinguish one from the other? Acute pericarditis, as the name implies, its suffix –itis, -itis, -itis. 02:08 Inflammation, inflammation, inflammation. 02:10 Where am I? The outside aspect of the heart.
The lecture Acute Pericarditis: Introduction by Carlo Raj, MD is from the course Pericardial Disease: Basic Principles with Carlo Raj.
Pericarditis is...
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