The Curbsiders Internal Medicine Podcast

#431 Myocarditis and Pericarditis

24 snips
Mar 18, 2024
Guest
Vivek Kulkarni
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.
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ADVICE

Initial Approach to Chest Pain

  • Always rule out common causes first when diagnosing chest pain like pericarditis.
  • Ask about positional pain and consider pulmonary embolism risk factors such as oral contraceptives.
ADVICE

EKG Differentiation Tips

  • Use EKG features to differentiate pericarditis from STEMI.
  • Pericarditis shows diffuse ST elevation and PR depression without reciprocal changes.
INSIGHT

Myopericarditis vs Perimyocarditis

  • The terms myopericarditis and perimyocarditis are often used loosely.
  • Knowing if both myocardium and pericardium are involved matters more than the exact label.
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