pericarditis febi

7/24/2019 Pericarditis Febi

1/21


2/21

Pericarditis

Febrina RambuC 111 11 162

Pembimbing :

dr. Akhtar Fajar M, SpP, F!"A

#!$A%A&A' #A(AM RA')&A *+)AS &PA'!*RAA'&(!'!&

$A)!A' &AR#!-(-)! #A' -&*RA' AS&+(AR

FA&+(*AS -&*RA'

+'!RS!*AS "ASA'+##!'


3/21

Anatm

Normal amount ofpericardial uid: 25-50 cc

Two layers:

Outer layer is theparietal pericardiumand consists of layersof brous and seroustissue

Inner layer is isceralpericardium andconsists of seroustissue only


4/21

Pericardium

!ibroelastic sacconsistin" of 2layers

#isceral at

epicardial side

$arietal atmediastinalside

$ericardial uidformed fromultraltrate ofplasma


5/21

pidemi3g Pericarditis

/.14 5 hspita3ied patients

04 5 patients admitted t

mergenc #epartment 5r nn7acute mcardia3 in5arctin chestpain

14 pericarditis patient is subc3inica3


6/21

$ericarditis isinammation of

pericardial layer of

the heart% with orwithout uidacumulation in

percardial space


7/21

C3assi8catin&'(T) $)*I'&*+ITI, lessthan . wee/s : brousa andefusif

,(1-&'(T) $)*I'&*+ITI, .wee/s . months :

'onstrictie and efusie-constrictie

'3*ONI' $)*I'&*+ITI,more than . months :constrictie% efusie% and

adhesie

IN!)'TIO(, $)*I'&*+ITI, :irus% pio"enic% tuberculosis%mi/oti/% etc

NON-IN!)'TIO(,$)*I'&*+ITI, : infarc

myocard acute% uremia%neoplasma% mi/sedema%cholestrol% trauma% acuteidiopati/% etc4

$)*I'&*+ITI, '&(,)+ 13$)*,)N,ITI#IT O*&(TOI6(N : rematic feer%cola"en ascular disease%dru"-induced% sindrom+ressler4


8/21

AC+* PR!CAR#!*!S*he mst cmmn a9ictin 5 pericardium

Re5ers t inammatin 5 its 3aers

)TIO7O8 :IN!)'TIO(, : Idiopathic and iral pericarditis Tuberculosis pericarditis Nontuberculosis bacterial pericarditisNON-IN!)'TIO(, : $ericarditis followin" 6yocardial

Infarction (remic $ericarditis Neoplastic $ericarditis *adiation-induced pericarditis

$ericarditis associated with connectietissue disease


9/21

'haracteri9ed by three sta"es:

47O'&7 #&,O+I7&TION ;IT3 T*&N,(+&TION O!$*OT)IN-$OO*% ')77-!*)) !7(I+ INTO$)*I'&*+I&7 ,$&')24IN'*)&,)+ #&,'(7&* $)*6)&1I7IT lea/ ofprotein to pericardial space


10/21

PA*"-(-);

,)*O(, $)*I'&*+ITI, represents

the early inammatory response common to

all types of acute pericarditis

,)*O!I1*INO(, $)*I'&*+ITI,

,($$(*&TI#) or purulent

$)*I'&*+ITI,

3)6O**3&8I' $)*I'&*+ITI,


11/21

C(!'!CA( FA*+RS

&(,'(7T&TION : sound& ,'*&T'3$)*I'&*+I&N!*I'TION *(1

In its full form, the rubconsist 3 components,corresponding to the phasesof greatest cardiac movement:Ventricular contractionVentricular relaxation
http://pericardial%20friction%20rub%20by%20-%20mp3pad.com.mp3/http://pericardial%20friction%20rub%20by%20-%20mp3pad.com.mp3/


12/21

#iagnsis 5 Pericarditis:Presence 5 t


13/21


14/21


15/21

7&1O*&TO*I(6 : serum transaminase till ?0unit4 '=61 not raise

*&+IO7O8 :Normal in patients with acute pericarditis unlesspericardial eAusion is present)nlar"ed cardiac silhouette *eCuires 200cc ofuid


16/21

*RA*M'*

Treat underlyin" disease

1ed rest

&nal"esic

&nti-inamation

'olchicine recurrent

pericarditis or resistent

N,&I+ and chorticosteroid


17/21


18/21

C"R-'!C PR!CAR#!*!S


19/21

=&bnormalities occur durin" diastoleD systoliccontraction of the entricles is usually normal='linical features : fati"ue% hypotension% reeEtachycardia% Fu"ular enous distention%

hepatome"aly with ascites% and peripheral edema

'ON,T*I'TI#) $)*I'&*+ITI,

'hronic pericarditis with adhesion between parietaland isceral pericardium

6ostly seen in rheumatic disease

&+3),I#) $)*I'&*+ITI,


20/21

Chest Radigraph

chcardigraphic

C*7scan Cardiac catheteriatin


21/21

pericarditis febi

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