AJM onlineClinical research studyEtiology of Pericarditis in a Prospective Cohort of 1162 Cases
Section snippets
Patients
Between May 2007 and September 2012, all patients with acute pericarditis (with or without pericardial effusion) who were hospitalized in the Cardiology and Cardiac Surgery Department or admitted to the Emergency Department (University Hospital of Marseille) with the prescription of standardized procedure were included in our study (Figure 1). All patients who were admitted for acute pericarditis had physical examinations, an electrocardiogram, an echocardiogram, and biologic screening. A
Description of Patients
From May 2007 to September 2012, we received 1162 samples that were obtained from patients with suspected pericarditis. A noninvasive, standardized procedure diagnosis was performed for 800 patients, and only 362 had pericardiocentesis with an invasive standardized procedure diagnosis (Figure 2). Of the 800 patients, 151 who received a pericardial kit for the assessment of chest pain and 78 patients who suffered from myocarditis without pericarditis were excluded from the study. Of the
Discussion
To better understand and evaluate the etiological causes of pericarditis in our center, we conducted a prospective study for 6 years, and it included one of the largest series of patients with acute pericarditis who were diagnosed by either noninvasive or invasive procedures. With the addition of our previous reports of 204 patients who were diagnosed by noninvasive procedures4 and 106 patients who were diagnosed by a molecular analysis of their pericardial fluid,9 this was the largest series
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Cited by (71)
A systematic review and meta-analysis of randomized controlled trials evaluating pharmacologic therapies for acute and recurrent pericarditis
2023, Trends in Cardiovascular MedicineOverview of pediatric myocarditis and pericarditis
2022, Progress in Pediatric CardiologyCitation Excerpt :As the amount of pericardial fluid increases the pericardial rub resolves, cardiac sounds are distant and if progression to cardiac tamponade occurs the patient will display severe respiratory distress, orthopnea, and pulsus paradoxus with the accompanying hemodynamic compromise. Post-pericardiotomy syndrome is a distinct type of pericarditis occurring several days to weeks after cardiac surgery in about 10–30% of patients [22,26,27] and almost invariably displays a precordial rub. Echocardiography is a key imaging technique in the diagnostic process of myocarditis as it can evaluate the ventricular size and function, assess valve competency, and demonstrate associated pericardial effusion with the associated hemodynamic effects.
Pericardial Involvement in Sarcoidosis
2022, American Journal of CardiologyThe pathology of pericarditis
2022, Diagnostic HistopathologyCitation Excerpt :Post-cardiac injury syndromes (PCIS) are a group of pericardial diseases, including post-myocardial infarction (MI) pericarditis, post-pericardiotomy syndrome (PPS), and post-traumatic pericarditis.25 PCIS were found to be the most common identifiable cause of acute pericarditis in a French study (21%)15 and a US large urban hospital (33%).30 They are also a common cause of constrictive pericarditis in the United States.11
Incidence of Myopericarditis and Myocardial Injury in Coronavirus Disease 2019 Vaccinated Subjects
2022, American Journal of CardiologyCitation Excerpt :This study found a statistically significant increase in the age-adjusted incidence of myopericarditis in vaccinated men. Viruses are considered the leading etiology of myopericarditis.14 However, research has demonstrated that there were fewer cases of non–COVID-19 viral illnesses in 2021 compared with previous years (e.g., due to masking, physical distancing, and improved hand hygiene).15
Funding: None.
Conflict of Interest: None.
Authorship: All authors had access to the data and a role in writing the manuscript.