1. Pericardium And Pericarditis What is the pericardium? The pericardium is the thin sac (membrane) that surrounds the heart and the roots of the great blood vessels. Pericardium and pericarditis. What is the pericardium? http://www.americanheart.org/presenter.jhtml?identifier=4683

2. Cardiovascular Institute And Center For Cardiovascular Health - Mount Sinai Scho pericarditis. Back to Diseases and Conditions pericarditis is the name given to a variety of diseases, all of which have the major characteristics of inflammation of http://www.mssm.edu/cvi/pericarditis.shtml

Pericarditis Back to Diseases and Conditions he pericardium is a sac of tough fibrous tissue that envelops the heart and the roots of the blood vessels which enter and leave the heart. The small amount of lubricating fluid (approximately 30 ml) contained in the sac and the sac's incomplete attachment to the heart allow the heart to move within it. Pericarditis is the name given to a variety of diseases, all of which have the major characteristics of inflammation of the pericardium and an increase in volume of the pericardial fluid. Pericarditis may be acute or chronic. It may be completely cured or may recur. Pericarditis is a progressive disease which can be life-threatening if not treated in a timely manner. Most people do not have any symptoms or merely have the symptoms of an underlying disease. If you have pericarditis, you may experience chest pain. The pain may come on suddenly. What causes pericarditis? What is acute pericarditis? What is chronic pericarditis? What is constrictive pericarditis? ... How is pericarditis treated? What causes pericarditis? Usually, pericarditis is the consequence of another disease, often an infection. The infection may be bacterial, viral, or occasionally, fungal. Some other diseases which cause pericarditis are: kidney failure, tuberculosis, cancer, rheumatoid arthritis, rheumatic fever, lupus, and scleroderma.

3. Pericarditis - CardiologyChannel pericarditis is an inflammation of the pericardium. Fluid build up between the heart and the pericardium, or pericardial effusion, can cause pericarditis. http://www.cardiologychannel.com/pericarditis/

Home Search SiteMap Ask the Dr. ... Medical Store advertisement PERICARDITIS Overview Causes Symptoms Diagnosis ... Treatment CONDITIONS Angina Aortic Stenosis Atrial Fibrillation Chest Pain ... Congestive Heart Failure Endocarditis Heart Attack High Cholesterol Hypertension ... Pericarditis DIAGNOSTIC TESTS Cardiac Catheterization TREATMENTS Coronary Angioplasty Pacemaker RESOURCES Anatomy Clinical Trials Health Profiler Links ... What Is a Cardiologist? About Us Healthcommunities.com Pressroom Testimonials Overview The pericardium is a thin layer of specialized tissue that covers the outer surfaces of the heart. This tissue helps to anchor the heart in place, prevents excessive movement of the heart in the chest when body position changes, protects the heart from infections and tumors that develop in and may spread from adjacent tissues, and may help keep the heart from enlarging. Inflammation of the pericardium is called pericarditis . Pericarditis frequently causes a characteristic chest pain that usually compels one to seek medical attention. Causes There are many causes of pericarditis, including infection, kidney failure, metastatic disease, some medications, and radiation therapy. Recent viral infection often precedes pericarditis in young, otherwise healthy patients. In

4. MedlinePlus Medical Encyclopedia: Pericarditis pericarditis. Definition Return to top. pericarditis is a disorder caused by inflammation of the pericardium, which is the saclike covering of the heart. http://www.nlm.nih.gov/medlineplus/ency/article/000182.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Pericarditis Contents of this page: Illustrations Definition Causes, incidence, and risk factors Symptoms ... Prevention Illustrations Pericardium Pericarditis Definition Return to top Pericarditis is a disorder caused by inflammation of the pericardium, which is the sac-like covering of the heart. Causes, incidence, and risk factors Return to top Pericarditis is usually a complication of viral infections caused by adenovirus and coxsackie virus. Less frequently, it can be caused by the polio influenza or rubella viruses. Infections with bacteria can lead to bacterial pericarditis (also called purulent pericarditis). Some fungal infections can also produce pericarditis. In addition, pericarditis can be associated with systemic diseases such as autoimmune disorders rheumatic fever tuberculosis , cancer, leukemia, kidney failure , HIV infections, AIDS and hypothyroidism. Heart disorders which can cause pericarditis include heart attack (see post-MI pericarditis ) and myocarditis . Radiation therapy to the chest and medications that suppress the immune system can also sometimes induce this condition. Pericarditis can also result from injury (including surgery) or trauma to the chest, esophagus or heart.

5. EMedicine - Pericarditis And Cardiac Tamponade : Article By Verena T Valley, MD pericarditis and Cardiac Tamponade pericarditis and cardiac tamponade are clinical problems involving the potential space surrounding the heart or pericardium. pericarditis is one cause of fluid http://www.emedicine.com/emerg/topic412.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Cardiovascular Pericarditis and Cardiac Tamponade Last Updated: July 29, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: pericardium, pericardial complex AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Verena T Valley, MD , Director of Ultrasound, Associate Professor, Department of Emergency Medicine, University of Mississippi School of Medicine Coauthor(s): Christopher A Fly, MD , Ultrasound Fellow, Department of Emergency Medicine, University of Mississippi Medical Center Editor(s): David A Peak, MD , Instructor, Staff Physician, Department of Emergency Services, Massachusetts General Hospital, Harvard Medical School; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine; Eric Legome, MD , Residency Director, Assistant Professor of Emergency Medicine and Surgery, Department of Emergency Medicine, NYU/Bellevue Hospital;

6. THE MERCK MANUAL, Sec. 16, Ch. 209, Pericardial Disease The Merck Manual discusses both acute and chronic pericarditis. Looks at signs, symptoms, diagnosis and treatment of both. http://www.merck.com/pubs/mmanual/section16/chapter209/209b.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 16. Cardiovascular Disorders Chapter 209. Pericardial Disease Topics [General] Pericarditis Pericarditis Inflammation of the pericardium, which may be acute or chronic and may result in pericardial effusion. Etiology Acute pericarditis: Acute pericarditis may result from infection, connective tissue disorders, metabolic disorders, trauma, MI, or certain drugs, or it may be idiopathic. Infections resulting in acute pericarditis may be caused by bacteria, parasites, protozoa, viruses, or fungi. Bacterial infection is most often due to streptococci, staphylococci, and gram-negative bacilli. Haemophilus influenzae is a common cause in children. Pyogenic pericarditis is uncommon but may occur with infective endocarditis, pneumonia, septicemia, and penetrating trauma; after cardiac surgery; and in immunocompromised patients. Viral infection is most often due to echovirus, influenza virus, and coxsackievirus group B. In some inner city hospitals, AIDS is the most common cause of pericardial effusion recognized by echocardiography. Patients with AIDS may develop pericarditis because of Mycobacterium avium, M. tuberculosis, Nocardia

7. InteliHealth: Pericarditis InteliHealth Featuring Harvard Medical School's consumer health information. Features informative and interesting medical links to the most wanted health information on the Internet. Also Viral http://www.intelihealth.com/IH/ihtIH/WSIHW000/331/24447.html

chrome_imgPreload('gifChr_mid_but_home_mo_1','http://img.intelihealth.com/i/C/Chr_mid_but_home-o.gif'); chrome_imgPreload('gifChr_mid_but_comm_mo_2','http://img.intelihealth.com/i/C/Chr_mid_but_comm-o.gif'); chrome_imgPreload('gifChr_mid_but_dental_mo_3','http://img.intelihealth.com/i/C/Chr_mid_but_dental-o.gif'); chrome_imgPreload('gifChr_mid_but_drug_mo_4','http://img.intelihealth.com/i/C/Chr_mid_but_drug-o.gif'); chrome_imgPreload('gifChr_mid_but_askexpert_mo_5','http://img.intelihealth.com/i/C/Chr_mid_but_askexpert-o.gif'); chrome_imgPreload('gifChr_mid_but_medical_mo_6','http://img.intelihealth.com/i/C/Chr_mid_but_medical-o.gif'); chrome_imgPreload('gifChr_mid_but_chats_mo_7','http://img.intelihealth.com/i/C/Chr_mid_but_chats-o.gif'); chrome_imgPreload('gifchr_mid_but_news_mo_8','http://img.intelihealth.com/i/c/chr_mid_but_news-o.gif'); chrome_imgPreload('gifChr_mid_but_privacy_mo_9','http://img.intelihealth.com/i/C/Chr_mid_but_privacy-o.gif'); Advertisement Pericarditis What Is It? Symptoms Diagnosis Expected Duration ... Additional Info What Is It? Acute pericarditis is an inflammation of the pericardium, the saclike membrane that encloses the heart. Pericarditis can be triggered by many, very different medical conditions, including:

8. Constrictive Pericarditis MEDSTUDENTS-CARDIOLOGY A review of the basic and clinical characteristics of constrictive pericarditis. Including analysis of surgical treatment and long term outcome. http://www.medstudents.com.br/cardio/cardio6.htm

Cardiology Eduardo Benchimol Saad, MD Medstudents' Homepage Constrictive Pericarditis The pericardium is a two-layered sac that encircles the heart, the inner serosal layer ( visceral pericardium ) adhering to the outer wall of the heart and being reflected back upon itself, at the level of the great vessels, to join the though fibrous outer layer ( parietal pericardium ). A thin film of fluid ( about 50 ml )slightly separates the two layers and decreases friction between them. The pericardium appears to serve three functions : it fixes the heart within the mediastinum and limits its motion; it prevents extreme dilatation of the heart during sudden rises of intracardiac volume; and it may function as a barrier to limit the spread of infection from the adjacent lungs. However, patients with complete absence of the pericardium ( either congenital or surgically removed ) generally do fine without it, casting doubt on its actual physiologic importance. Constrictive Pericarditis is present when a fibrotic, thickened, and adherent pericardium restricts diastolic filling of the heart. It usually begins with an initial episode of acute pericarditis, which may not be detected clinically. This then slowly progresses to a subacute stage of organization and resorption of effusion, follwed by a chronic stage consisting of fibrous scarring and thickening of the pericardium with obliteration of the pericardial space, producing uniform restriction of the filling of all heart chambers. In this stage, calcium deposition may contribute to stiffening of the pericardium. The possible etiologies of constrictive pericarditis are shown in

9. Pericarditis - Patient & Family Version - Pediatric Explain what it is, how it happens, how it feels, symptoms, treatments and things you should know. http://pedspain.nursing.uiowa.edu/GenePain/PERICAnt.htm

Pericarditis Ruth Hobson RN Edited by Chris Santis RN What is pericarditis? Pericarditis is the inflammation of the protective covering which surrounds your heart. This protective covering is called the pericardium. How does pericarditis happen? Usually, pericarditis results from some other disease process that is going on. For instance, many people that have heart attacks or have open heart surgery can develop pericarditis just from the injury that has occured to the heart. How does it feel to have pericarditis? Pericarditis is usually described as sharp, severe chest pain and is located in the front of your chest. The pain may travel into the arm, neck, or back. The chest pain many times feels worse when you take a deep breath, cough, swallow, or turn your body a certain way. Sometimes a fever, chills, and shortness of breath can accompany the chest pain. Those symptoms sound like a heart attack, how do I know I am not having a heart attack? Yes, these symptoms are very much like a heart attack, but the findings done on a physical exam and in the laboratory tests will help determine if it is pericarditis or a heart attack. First of all, the doctor or nurse will listen very carefully to your heart, because pericarditis causes a very distinct heart sound called a "pericardial friction rub". This sound is made because of the swelling of these tissues surrounding the heart, making a rubbing sound. Also, the doctor will order a chest x-ray, a tracing of your heart (called an ECG) and some blood tests. All of these things will help the doctor diagnose the pericarditis as well.

10. Electrocardiographic Manifestations And Differential Diagnosis Of Acute Pericard Acute pericarditis has many potential etiologies and typically presents as sharp central pathognomonic physical finding of acute pericarditis is the pericardial friction rub, which http://www.aafp.org/afp/980215ap/marinell.html

Advanced Search Articles Departments Patient Information Electrocardiographic Manifestations and Differential Diagnosis of Acute Pericarditis MARK A. MARINELLA, M.D., Wright State University School of Medicine, Dayton, Ohio Acute pericarditis has many potential etiologies and typically presents as sharp central chest pain that worsens with recumbency and is relieved by leaning forward. The pathognomonic physical finding of acute pericarditis is the pericardial friction rub, which is usually auscultated along the lower left sternal border. The electrocardiogram (ECG) is a useful, simple tool that may aid in the diagnosis of acute pericarditis. Typical ECG findings include diffuse concave-upward ST-segment elevation and, occasionally, PR-segment depression. ECG changes of both acute myocardial infarction and early repolarization can appear similar to ECG changes of acute pericarditis. However, these conditions can usually be excluded by an accurate history, physical examination and recognition of a few key features on the ECG. This article exemplifies the AAFP 1997-98 Annual Clinical Focus on prevention and management of cardiovascular disease.

11. Pericarditis Hub A brief definition, followed by links to overviews, full text articles, research projects and case reports. http://www.projectlinks.org/pericarditis

Pericarditis is an inflammation of the thin sac that surrounds the heart. The most common viruses causing the disease are enteroviruses while the most common bacteria infecting the pericardium are the pyogenic cocci (Neisseria, Staphylococcus, Streptococcus). Chronic pericarditis is most commonly caused by M. tuberculosis or Histoplasma capsulatum. There is also a noninfectious pericarditis; causes include disease of the underlying heart muscle, injury, and other diseases, such as rheumatoid arthritis, lupus erythematosus, or kidney failure. Electrocardiographic Manifestations and Differential Diagnosis of Acute Pericarditis - by Mark A. Marinella, M.D., Wright State University School of Medicine, Dayton, Ohio. Pericarditis by Lucile Packard Children's Hospital Pericarditis by MEDLINEplus Medical Encyclopedia - updated by H. Jacqueline Suk, M.D., Department of Cardiology, Brigham and Women’s Hospital, Boston, MA. Purulent Pericarditis - by Vanderbilt University Medical Center. Pericarditis by Texas Heart Institute Pericarditis by RUSH Pericarditis by Dr. Joseph F. Smith Medical Library

12. Virtual Naval Hospital: General Medical Officer Manual: Clinical Section General Medical Officer (GMO) Manual Clinical Section Cardiovascular Disorders. pericarditis. Department of the Navy. Bureau of Medicine and Surgery. Peer Review Status Internally Peer Reviewed( http://www.vnh.org/GMO/ClinicalSection/11Pericarditis.html

General Medical Officer (GMO) Manual: Clinical Section: Cardiovascular Disorders Pericarditis Department of the Navy Bureau of Medicine and Surgery Peer Review Status: Internally Peer Reviewed (1) Introduction Acute pericarditis, caused by inflammation of the pericardium, manifests as chest pain, a pericardial friction rub, and has serial electrocardiogram (ECG) abnormalities. The incidence is 1/1000 hospital admissions. At autopsy, changes of pericarditis appear in 2 to 6 percent of cases. The majority of cases are idiopathic or postviral, but acute myocardial infarction, uremia, bacterial infection, tuberculosis, collagen-vascular disease, neoplasm, and trauma must be considered. (2) Symptoms suggestive of pericarditis Pericarditis chest pain occurs in the pericardium with a pleuritic component. Recumbency increases the pain, which often radiates to the trapezius ridge. Swallowing may exacerbate pain. Dyspnea results from pleural irritation or, on occasion, accumulation of a large pericardial effusion. Symptoms typically occur with an ongoing or preceding upper respiratory infection. Exertion may exacerbate chest pain, but the pleuritic nature and positional component persist. When pericarditis follows myocardial infarction, ischemic chest pain precedes. Coexistent symptoms of pneumonitis suggest a bacterial etiology, especially with high fever. Recurrent fevers, sweats, and weight loss suggest tuberculosis. Malignant pericarditis is usually metastatic with other clinical evidence of malignancy. Common primary tumors include lung, breast, melanoma, lymphoma, and leukemia.

13. Lycos Health With Webmd Pericarditis Definition, causes, incidence and risk factors, symptoms, signs and tests, treatment, expectations, prognosis, complications and prevention. http://webmd.lycos.com/content/asset/adam_disease_pericarditis2

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14. Pericarditis Images of the different types of pericarditis. http://www.brisbio.ac.uk/ROADS/subject-listing/pericarditis.html

A collection of medical, dental and veterinary images for use in teaching. Home About the Archive FAQ Terms and Conditions ... Help Pericarditis Acute fibrinous pleuritis and pericarditis Acute pericarditis Fibrinous pericarditis Fibrinous pericarditis Fibrinous pericarditis Fibrinous pericarditis Fibrinous pericarditis Fibrinous pericarditis Fibrinous pericarditis Fibrinous pericarditis Organising pericarditis Organising pericarditis Pericarditis Pericarditis Pericarditis Pericarditis Staphylococcal pericarditis Traumatic pericarditis Traumatic pericarditis

15. Pericardium And Pericarditis - Patient Queries - Irish Heart Foundation :) Irela A brief look at pericarditis with an explanation, causes and treatment.  http://www.irishheart.ie/patientqueries/pericarditis.htm

IHF Home Patient Queries Pericardium and Pericarditis The pericardium is the thin sac or bag (membrane) that surrounds the heart. What is pericarditis? If this surrounding bag becomes inflammed the condition is called Pericarditis. The pericardium has an inner and outer layer and contains a small amount of lubricating fluid between the layers. When the pericardium is inflamed, it may cause these layers to become more sticky and for more fluid to accumulate. Your doctor may hear a rubbing sound when he listens to your heart as the two sticky layers of your pericardium rub off each other. Sometimes a large amount of fluid may accumulate in the pericardial sac. This occurs with certain infections of the heart and also with kidney disease. How do you feel with pericarditis ? Pericarditis usually occurs in men aged 20 to 50. They experience chest pain which lies behind the breastbone that sometimes spreads to the neck and left shoulder. The pain tends to be sharp and is made worse by deep breaths, swallowing or by lying down flat. Many people with pericarditis feel sick and may have a fever. These features help your doctor separate this pain from angina. What are the causes of pericarditis?

16. MedlinePlus Medical Encyclopedia: Pericarditis - After Heart Attack pericarditis after heart attack. Dressler s syndrome; Post-MI pericarditis; Post-cardiac injury syndrome; Postcardiotomy pericarditis Definition Return to top. http://www.nlm.nih.gov/medlineplus/ency/article/000166.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Pericarditis - after heart attack Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Calling your health care provider Illustrations Acute MI Post-MI pericarditis Pericardium Alternative names Return to top Dressler's syndrome; Post-MI pericarditis; Post-cardiac injury syndrome; Postcardiotomy pericarditis Definition Return to top Pericarditis is an inflammation and swelling of the pericardium (the sac-like covering of the heart), which can occur in the days or weeks following a heart attack. Causes, incidence, and risk factors Return to top Pericarditis may occur within 2 to 5 days after a heart attack (acute MI), or it may occur as much as 11 weeks later. The condition is called Dressler's syndrome when it persists for weeks or months after a heart attack. Pericarditis can also be caused by open heart surgery , stab wounds to the heart and blunt chest trauma. It may involve repeated episodes of symptoms. Pericarditis occuring shortly after a heart attack is caused by the inflammatory response to blood in the pericardial sac or by the presence of dead or severely damaged tissue in the heart muscle. During the period of inflammation, the immune system tries to clean up the heart after injury, but it can sometimes go too far and attack healthy cells by mistake. Pain occurs when the inflamed pericardium rubs on the heart.

17. Patient Care - Columbia University Medical Center A look at infective endocarditis, pericarditis, myocarditis, and cardiomyopathy. Discussion on each about diagnosis, treatment and prevention. http://cpmcnet.columbia.edu/texts/guide/hmg16_0004.html

CUMC Home About Education Research ... Studies Seeking Patients Patient Resources Hospitals Hospital Affiliations Patient Resources Studies Seeking Patients- Clinical Trials Academic and Clinical Departments Find a Healthcare Provider/Dentist Physician Referral Service Dental Services Faculty Profiles Campus Information The Neighborhood and our Campus Directions HIPAA HIPAA extends significant new privacy rights to our patients concerning the use or disclosure of their medical information. Last updated CUMC Home Columbia University New York-Presbyterian Hospital Comments

18. InteliHealth: Pericarditis and crossreferenced in an AZ format. pericarditis. Health A to Z, Reviewed by the Faculty of Harvard Medical School pericarditis http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/24447.html

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19. InteliHealth: Diseases Of The Heart Lining Reviewed by the Faculty of Harvard Medical School pericarditis pericarditis can be triggered by many, very different medical conditions, including http://www.intelihealth.com/IH/ihtIH/WSIHW000/8059/23696/284782.html?d=dmtHealth

20. EMedicine - Pericarditis And Cardiac Tamponade : Article By Verena T Valley, MD pericarditis and Cardiac Tamponade pericarditis and cardiac tamponade are clinical problems involving the potential space surrounding the heart or pericardium http://www.emedicine.com/EMERG/topic412.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Cardiovascular Pericarditis and Cardiac Tamponade Last Updated: July 29, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: pericardium, pericardial complex AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Verena T Valley, MD , Director of Ultrasound, Associate Professor, Department of Emergency Medicine, University of Mississippi School of Medicine Coauthor(s): Christopher A Fly, MD , Ultrasound Fellow, Department of Emergency Medicine, University of Mississippi Medical Center Editor(s): David A Peak, MD , Instructor, Staff Physician, Department of Emergency Services, Massachusetts General Hospital, Harvard Medical School; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine; Eric Legome, MD , Residency Director, Assistant Professor of Emergency Medicine and Surgery, Department of Emergency Medicine, NYU/Bellevue Hospital;

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