Japanese Heart Journal
Online ISSN : 1348-673X
Print ISSN : 0021-4868
ISSN-L : 0021-4868
Acute Pericarditis
Etiology, Treatment and Prognosis A Study of 115 Patients
Y. ILANR. ORENE. BEN-CHETRIT
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Keywords: Pericarditis
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1991 Volume 32 Issue 3 Pages 315-321

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Abstract

One hundred and 15 hospitalized patients with acute pericarditis were analyzed retrospectively for their etiology, management and longterm prognosis. It was found that most of the patients had either idiopathic or viral etiologies (60%), collagen disease (16.4%) or malignancy (6.9%). Most of the patients were treated with non-steroidal anti-inflammatory drugs (NSAID). Twenty-six patients (22%) required corticosteroids following NSAID treatment failure. Only one patient underwent pericardiocentesis for tuberculous pericarditis. The long-term prognosis was good, although 21.9% of the patients suffered from recurrent episodes of pericarditis.
It is concluded that in hospitalized patients with pericarditis, an extensive workup may not reveal the major etiologies, and the disease may be more complicated than previously thought.

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