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Information

Most readily available test for detection of pericardial effusion, which commonly accompanies acute pericarditis.

Treatment: Acute Pericarditis

Aspirin 650-975 mg qid or other NSAIDs (e.g., ibuprofen 400-600 mg tid or indomethacin 25-50 mg tid); addition of colchicine 0.6 mg bid may be beneficial and reduces frequency of recurrences. For severe, refractory pain, glucocorticoids (e.g., prednisone) can be prescribed. Intractable, prolonged pain or frequently recurrent episodes may require pericardiectomy. Anticoagulants are relatively contraindicated in acute pericarditis because of risk of pericardial hemorrhage.

Outline

Section 8. Cardiology