© 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Our website services, content, and products are for informational purposes only. Incessant pericarditis lasts about four to six weeks but less than three months and is continuous.Pericarditis is described as recurrent if it occurs about four to six weeks after an episode of acute pericarditis with a symptom-free interval in between. Inflammation can occur in many places in the heart. But if the fluid accumulates quickly, like bleeding because of trauma, small amounts of fluid can cause significant problems. This treatment is usually reserved as a last-line therapy.Drainage of excess fluid may be necessary. The pericardium also helps keep your heart in place inside the chest wall.Pericarditis is an inflammatory condition, usually acute, coming on suddenly, and lasting a from few days to a few The cause of most pericarditis isn’t known, but viral infections are thought to be responsible for Anything else that causes inflammation, such as cancer, can also cause pericarditis. However, treatments are available to decrease the duration of the condition and prevent recurrences. The swelling causes a sharp pain as the affected pericardial layers rub together and irritate. That means less blood leaves the heart, which causes a dramatic drop in blood pressure. Your symptoms may worsen when you: lie flat take deep breaths cough swallow It’s important to follow your treatment plan.Until you fully recover, rest and avoid strenuous physical activity. For example, although the cause of acute chest pain may be pericarditis, the original cause could have been a heart attack or a blood clot of the lungs (pulmonary embolus).Under normal circumstances, the two-layered pericardial sac that surrounds your heart contains a small amount of lubricating fluid. Your symptoms may vary, depending on the type of pericarditis you have.When you have a sharp chest pain, it’s best to seek medical help right away.Sitting up and leaning forward may make you feel better.Most often, the cause of pericarditis isn’t known. But there can be complications with chronic pericarditis, including fluid buildup and constriction of the pericardium. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. In addition, a delayed form of pericarditis may occur weeks after a heart attack or heart surgery.This delayed pericarditis is known as Dressler's syndrome. The usual therapy for people without other medical risks includes:If your pain is severe, your doctor may prescribe a stronger medication.Surgery may be considered in recurrent pericarditis that doesn’t respond to other treatment. In most cases, doctors either are unable to determine a cause (idiopathic) or suspect a viral infection.Pericarditis can also develop shortly after a major heart attack, due to the irritation of the underlying damaged heart muscle. Acute pericarditis usually lasts less than three weeks. Discuss with your doctor how long you should limit your activity.If you see any signs of recurrence, check with your doctor as soon as possible.Recovery from pericarditis takes time. Early diagnosis and treatment may help to reduce the risk of long-term complications from pericarditis.Pericarditis has different classification types, depending on the pattern of symptoms and how long symptoms last. If you have symptoms of constrictive pericarditis, including shortness of breath, swelling of the legs and feet, water retention, heart palpitations, and severe swelling of the abdomen, call your cardiologist to schedule an evaluation.
In pericarditis, the sac becomes inflamed and the resulting friction from the inflamed sac leads to chest pain.The cause of pericarditis is often hard to determine. Treatments for these complications are available, including surgery. Pain may radiate to your shoulders, neck, arms, or jaw. Acute pericarditis usually lasts less than three weeks. It often intensifies when you cough, lie down or inhale deeply. The sharp chest pain associated with pericarditis occurs when the irritated layers of the pericardium rub against each other.Pericarditis usually begins suddenly but doesn't last long (acute). Cardiac tamponade can be fatal if it isn't promptly treated.Early diagnosis and treatment of pericarditis usually reduces the risk of the long-term complications.Mayo Clinic does not endorse companies or products. Most of the time, pericarditis resolves on its own. If you have a bacterial infection, you may be given antibiotics.If you have other medical risks, your doctor may initially treat you in the hospital.Treatment aims to reduce your pain and inflammation and minimize risk of recurrence. Sitting up and leaning forward can often ease the pain. At times, it may be difficult to distinguish pericardial pain from the pain that occurs with a heart attack.Chronic pericarditis is usually associated with chronic inflammation and may result in fluid around the heart (pericardial effusion). The pain can be in the middle or left side of your chest, behind the breastbone. However, chronic inflammation of the pericardium can cause scarring that prevents the heart from beating appropriately and surgery may be required. However, some people with acute pericarditis describe their chest pain as dull, achy or pressure-like instead, and of varying intensity.The pain of acute pericarditis may travel into your left shoulder and neck. Heart failure symptoms (swelling of legs and feet, unexplained weight gain) This can be performed surgically or by insertion of a catheter. The doctor will listen with a stethoscope for signs of excess fluid.They’ll also listen for friction rub. This is the noise of your pericardium rubbing against the outer layer of your heart.Treatment for pericarditis will depend on its underlying cause, if it’s known. In some cases, it may take you weeks for symptoms to complete resolve.Most cases of pericarditis are mild and without complications. All rights reserved.
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