Eziologia, Diagnosi Acute pericarditis: etiology Triage in acute pericarditis

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Eziologia, Diagnosi Acute pericarditis: etiology Triage in acute pericarditis

Gordon, Greg, Coordinating Producer has reference to this Academic Journal, PHwiki organized this Journal Pericarditi, Miocarditi e CMP infiammatorie: cosa c’è di nuovo Pericarditi Massimo Imazio, MD, FESC Dipartimento di Cardiologia Ospedale Maria Vittoria, Torino Medico di Guardia Pericardite Eziologia, Diagnosi

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Imazio M, et al. Circulation. 2007;115:2739 “Everything may cause pericarditis ” Int J Clin Pract 2007; 61: 138 Imazio M et al. Future Cardiology 2007; 3: 623 Major infectious agents Viral (most common: Echovirus in addition to Coxsackievirus (usual), Influenza, EBV, CMV, Adenovirus, Varicella, Rubella, Mumps, HBV, HCV, HIV, Parvovirus B19 in addition to Human Herpes Virus 6 (increasing reports); Bacterial (most common: tuberculous (4-5%), Coxiella burnetii (5-7%), other bacterial rare may include Pneumo-, Meningo-, Gonococcosis, Haemophilus, Staphylococci, Chlamydia, Mycoplasma, Legionella, Leptospira, Listeria) Fungal (rare: Histoplasma more likely in immunocompetent patients, Aspergillosis, Blastomycosis, C in addition to ida more likely in immunosuppressed host) Parasitary (very rare: Echinococcus, Toxoplasma) Levy PY et al.Future MIcrobiol 2006; 1(2):229 SYSTEMATIC BATTERY OF SEROLOGICAL TESTS

Acute pericarditis: etiology Imazio M, et al. Circulation. 2007;115:2739 Imazio M, Trinchero R. Future Cardiology 2007; 3: 623

Triage in acute pericarditis

Diagnostic criteria Imazio M, Trinchero R. J Cardiovasc Med 2007; 8: 404

Etiologic screening

Am J Cardiol 2007; 99: 1294-7

Pathogenesis of recurrences Imazio M, Trinchero R. Future Cardiology 2007; 3: 623 Etiology of recurrent pericarditis

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Terapia ASA o FANS Imazio M et al. J Cardiovasc Med 2007; 8: 748 Corticosteroidi come FR per le recidive Imazio M, et al. Circulation. 2007;115:2739 Imazio M, Trinchero R Rec Prog Med 2006; 98(5):265-70

Nature Cardiovasc Med 2008; in press Cleve Clin J Med 2007; 74: 385-6 COPE: COlchicine as long as acute PEricarditis NNT= 5 Corticosteroid therapy: Recurrences OR 4.30 95% CI 1.21 to 15.25; p=0.024 Drug withdrawal Imazio M et al. Circulation 2005; 112(13):2012-6.

MD on duty MOST CASES ARE BENIGN, TRIAGE FOR DECISION-MAKING

Gordon, Greg Coordinating Producer

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