The cause in this case is unknown.There are a number of possible causes of acute fibrinous pericarditis, including myocardial infarction, uraemia, rheumatic fever, systems lupus erythematosis, irradiation of the chest, trauma and (rarely) infections. other types of disease).Morphology: The surface of the pericardium is dry with a coarse granular appearance caused by fibrinous exudate, as seen in this image.Over time, fibrinous exudate may become organized or undergo lysis with a decrease in inflammation.Image credit: Gonzalo de Toro, MD, Puerto Varas, Chile.fibrinous pericarditis is one of the most common form of acute pericarditis.Among oncological disorders, malignant neoplasms of the lungs and mammary gland become the cause of AF more often.Infiltration of pericardium with non-lymphocytic leukemia occurs even less frequently.In some cases, histopathological examination of the pericardium does not reveal tumor cells, microorganisms and viral inclusions;therefore, the exact etiology of the disease pericardium is not determined.Symptoms that may be associated with pericarditis include:Rupture of blood vessels (hemorrhages) on the mucous membrane of the eyes, back, chest, fingers and toes.The pain becomes less intense when the patient sits down or leans forward.Worsening of the condition occurs when the patient lies down, and it can also worsen with a deep breath, which is similar to pleurisy, which often accompanies pericarditis.During the examination of a patient with suspected AF, the doctor must perform auscultation of the heart.In fibrinous pericarditis, the scraping sound is most often determined ( This sound arises because the rough surfaces of the pericardium rub against each other.If necessary, additional studies are appointed to help diagnose pericarditis and its causes:X-ray - with pericarditis, a traditional pattern of “water bottle” is seen around the heart.Its presence indicates adequate fluid accumulation.Additionally, laboratory tests can be carried out according to the type of complete blood count, determination of LDH and CPK, to measure heart enzymes and to distinguish between heart attack and pericarditis.Also, if bacterial pericarditis is suspected, a bacterial blood test is performed to detect infection.Patients have acute chest pain, which usually depends on the position.Fever and congestive heart failure are also present.The pericardial friction is initially heard, but it can disappear with sufficient accumulation of serous fluid separating the visceral and parietal layers of the pericardium.Since most of the pericarditis is caused by viruses and is cured by natural means, special treatment is not performed to eliminate the disease.In other cases, the nature of the course of the disease must be established, since treatment is different if complications such as cardiac tamponade, symptomatic effusion, purulent or non-purulent pericarditis occur.Traditional antibiotics do not work against viruses.Pericarditis, which has developed due to viruses, usually passes in two weeks or three months.However, medications can be used to reduce inflammation.If pericarditis is repeated, it may be necessary to remove all or part of the pericardium.In case of constrictive pericarditis adherence, pericardectomy may be necessary to remove congealed blood.Heart tamponade occurs when fluid collects in the pericardial sac between the heart and the surrounding pericardium.In such cases, emergency medical care is urgently needed, because the heart does not provide the body with the necessary amount of oxygen during tamponade and requires immediate treatment.In the presence of cardiac tamponade, a drainage installation may be required to remove fluid from the pericardium.For most people, home care is enough with rest and medication to relieve pain.A warm water bottle or compress can also help relieve pain.Sitting upright and leaning forward help relieve discomfort.When pericarditis can also be in bed, with the upper part of the bed should be raised to reduce the hard work of the heart.Along with painkillers and antibiotics, if necessary, diuretic preparations can be used to remove excess fluid from the body.Most people recover from three weeks to several months and do not need additional treatment.It is impossible to prevent the development of pericarditis, but a healthy lifestyle with proper nutrition and exercise will help strengthen the body's immune system and are more likely to fight pathogens.Ascorbic acid is an application in cardiovascular diseases
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