Acute Pericarditis: Introduction

by Carlo Raj, MD

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    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.

    About the Lecture

    The lecture Acute Pericarditis: Introduction by Carlo Raj, MD is from the course Pericardial Disease.

    Author of lecture Acute Pericarditis: Introduction

     Carlo Raj, MD

    Carlo Raj, MD

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