Pericarditis
Aetiology
Infections
- Coxsackie, bacterial, TB
Neoplastic
Drugs
- Procainamide, hydralazine
Autoimmune
- Rheumatoid, SLE, Sarcoidosis
ECG
- Diffuse concave ST elevation (ST depression in V1)
- Low voltage if effusion
- Later flattening or inversion T globally
- Return to normal(3/12)
Note
- Beware compromise / tamponade
Treatment
- Aspirin (high dose)
- +/- antimicrobials (discuss with microbiologist)
- Refer cardiology if cardiac compromise or recurrent


