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The Curbsiders Internal Medicine Podcast
#431 Myocarditis and Pericarditis
Mar 18, 2024
Exploring pericarditis and myocarditis, they discuss diagnostic criteria and challenges, including EKG changes. They cover management strategies, NSAIDs, steroids, and risk factors. They touch on vaccines, infections, and post-surgical complications as causes.
54:05
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Quick takeaways
- Diagnosis and management of pericarditis require consideration of symptoms, inflammatory markers, and imaging results to differentiate between viral and non-ischemic myocardial injuries.
- Distinguishing between post-surgical pericarditis and other etiologies can be challenging, requiring differentiating tests like cardiac MRIs for tailored treatment plans.
Deep dives
Identification and Treatment of Pericarditis and Myocarditis
Diagnosing and managing pericarditis, myocarditis, and myopericarditis require consideration of symptoms, inflammatory markers, and imaging results like MRIs to differentiate between viral, non-ischemic myocardial injuries, and other etiologies. Treatment often involves high-dose NSAIDs, co-chicisine, and potentially immunosuppressive therapy for severe cases. Fulminant cases may necessitate mechanical circulatory support or prompt escalation of care.
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