Recurrent Pericarditis
Recurrent pericarditis is a condition characterized by the inflammation of the pericardium, the thin sac-like membrane surrounding the heart. While acute pericarditis usually resolves within a few weeks, recurrent pericarditis involves repeated episodes of inflammation, which can significantly impact a patient's quality of life. This patient education article aims to provide a comprehensive understanding of recurrent pericarditis, including its causes, symptoms, and available treatment options.
Causes of Recurrent Pericarditis:
The exact cause of recurrent pericarditis is often unknown. However, it is believed to be related to an abnormal immune response, where the immune system mistakenly targets the pericardium. Certain factors can trigger or contribute to recurrent pericarditis, including:
Idiopathic: In many cases, the cause remains unknown, and it is referred to as idiopathic recurrent pericarditis.
Viral or bacterial infections: Previous viral or bacterial infections, such as respiratory or gastrointestinal infections, can lead to recurrent pericarditis in some individuals.
Autoimmune disorders: Conditions like systemic lupus erythematosus (SLE) or rheumatoid arthritis can increase the risk of recurrent pericarditis.
Post-cardiac injury syndrome: Recurrent pericarditis may develop following heart surgery, cardiac trauma, or a heart attack.
Symptoms of Recurrent Pericarditis:
The symptoms of recurrent pericarditis may vary from person to person. Common signs and symptoms include:
Chest pain: Sharp, stabbing chest pain that may worsen with deep breathing or lying down. The pain may radiate to the neck, shoulder, or back.
Shortness of breath: Difficulty breathing, especially during physical activity or lying flat.
Fatigue: Feeling tired or weak due to the ongoing inflammation.
Fever: Low-grade fever may accompany pericarditis episodes.
Pericardial friction rub: A distinctive scraping or rubbing sound heard with a stethoscope during a physical examination.
Diagnosis:
If you experience symptoms suggestive of recurrent pericarditis, it is crucial to consult a healthcare professional. They will evaluate your medical history, perform a physical examination, and may order additional tests, including:
Echocardiogram: This ultrasound test provides detailed images of the heart and pericardium, helping identify signs of inflammation.
Electrocardiogram (ECG): An ECG records the heart's electrical activity, revealing any characteristic changes associated with pericarditis.
Blood tests: Blood tests can help detect signs of inflammation and rule out other potential causes.
CCA Providers currently seeing referred patients with Recurrent Pericarditis:
Dr. Kevin Woods