{"id":7393,"date":"2020-02-28T23:04:20","date_gmt":"2020-02-28T23:04:20","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=7393"},"modified":"2026-01-09T19:30:20","modified_gmt":"2026-01-09T19:30:20","slug":"pericarditis","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/pericarditis\/","title":{"rendered":"Definitions and Diagnostic Criteria for Pericarditis"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Pericardial syndromes include different clinical presentations of pericardial diseases with distinctive signs and symptoms that can be grouped in specific \u2018syndromes\u2019. The classical pericardial syndromes include pericarditis, pericardial effusion, cardiac tamponade and constrictive pericarditis.<!--more--><\/p>\n<p><strong>Definitions and diagnostic criteria for pericarditis<\/strong><\/p>\n<p><strong>Acute<\/strong><\/p>\n<p>Inflammatory pericardial syndrome to be diagnosed with at least 2 of the 4 following criteria:<\/p>\n<ol>\n<li>pericarditic chest pain<\/li>\n<li>pericardial rubs<\/li>\n<li>new widespread ST-elevation or PR depression on ECG<\/li>\n<li>pericardial effusion (new or worsening)<\/li>\n<\/ol>\n<p>Additional supporting findings:<br \/>\n&#8211; Elevation of markers of inflammation (i.e. C-reactive protein, erythrocyte sedimentation<br \/>\nrate, and white blood cell count);<br \/>\n&#8211; Evidence of pericardial inflammation by an imaging technique (CT, CMR).<\/p>\n<p><strong>Incessant<\/strong><br \/>\nPericarditis lasting for &gt;4\u20136 weeks but &lt;3 months without remission.<\/p>\n<p><strong>Recurrent<\/strong><br \/>\nRecurrence of pericarditis after a documented first episode of acute pericarditis and a symptom-free interval of 4\u20136 weeks or longer (usually within 18\u201324 months, but a precise upper limit of time has not been established)<br \/>\n.<br \/>\n<strong>Chronic<\/strong><br \/>\nPericarditis lasting for &gt;3 months.<\/p>\n<p>CMR = cardiac magnetic resonance; CT = computed tomography; ECG = electrocardiogram.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Adler Y, Charron P, Imazio M, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC)Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS).\u00a0Eur Heart J. 2015;36(42):2921\u20132964. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26320112\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>McNamara N, Ibrahim A, Satti Z, Ibrahim M, Kiernan TJ. Acute pericarditis: a review of current diagnostic and management guidelines. Future Cardiol. 2019;15(2):119\u2013126. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30848669\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Feb 29, 2020.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[16,15,353,14,13,292,829],"class_list":["post-7393","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-criteria","tag-criterios","tag-definiciones","tag-diagnostic","tag-diagnostico","tag-new","tag-pericarditis"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7393","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=7393"}],"version-history":[{"count":9,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7393\/revisions"}],"predecessor-version":[{"id":9145,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7393\/revisions\/9145"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=7393"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=7393"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=7393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}