What is treatment of pericarditis?
Treatment for acute pericarditis may include medication for pain and inflammation, such as ibuprofen and aspirin. Depending on the cause of your pericarditis, you may need an antibiotic or antifungal medication.
Does pericarditis cause ST elevation?
Pericarditis is an inflammation of the pericardium. This can lead to ST elevation in all leads. Therefore, it is important to distinguish pericarditis from a myocardial infarction, which has more acute complaints and ST-elevations are limited to the infarct area.
Why do you get ST elevation in pericarditis?
The source of this ST elevation is thought to be local inflammatory changes in the epicardium underlying the inflamed pericardium. The current from this area of ST elevation must return to some unaffected region of the heart and this should be associated with a region of ST depression.
How do you treat acute pericarditis?
Patients with acute pericarditis should be treated empirically with nonsteroidal anti-inflammatory drugs. Colchicine may be used as monotherapy or in combination with a nonsteroidal anti-inflammatory drug for the first episode of acute pericarditis.
What antibiotic is used for pericarditis?
Once bacterial pericarditis is suspected, empiric parenteral antibacterial therapy should be started immediately. In immunocompetent patients, the antibiotic regimen is vancomycin 15 mg/kg IV q12h plus ceftriaxone 1-2 g IV q12h.
How long do ST elevations last?
S-T segment elevation was present on admission in 18 of 23 patients (78 per cent) with acute anterior myocardial infarction and persisted in 13 after 1 week and in 9 of 14 (64 percent) during a follow-up period of 1 to 6 months.
What antibiotics treat pericarditis?
Antibiotic therapy for bacterial pericarditis is prolonged, usually 4 weeks….Bacterial Pericarditis
- Ceftriaxone (2 g IV once daily), cefotaxime (2 g every 8 hours), or gentamicin (3 mg/kg/day divided equally in 2 or 3 doses) OR.
- Cefepime (2 g IV q12h) OR.
What causes widespread ST segment changes in pericarditis?
Widespread ST segment changes occur due to involvement of the underlying epicardium (i.e. myopericarditis) TTE is useful in the early assessment of patients with suspected pericarditis to look for complications such as large pericardial effusion and cardiac tamponade
What should I do if I have acute pericarditis?
Transthoracic echocardiography should be performed in all patients with suspected acute pericarditis to exclude pericardial effusion and cardiac tamponade. Patients with acute pericarditis should be treated empirically with nonsteroidal anti-inflammatory drugs.
What’s the difference between STEMI and pericarditis ECG?
Pericarditis vs STEMI 1 Pericarditis can cause localised ST elevation but there should be no reciprocal ST depression (except in AVR and V1). 2 STEMI, like pericarditis, can also cause concave up ST elevation. 3 Only STEMI causes convex up or horizontal ST elevation. 4 ST elevation greater in III than II strongly suggests a STEMI.
What are the ECG elevation changes for pericarditis?
ST- and PR-segment changes are relative to the baseline formed by the T-P segment. The degree of ST elevation is typically modest (0.5 – 1mm). Pericarditis is classically associated with ECG changes that evolve through four stages.