Treatment of Acute and Recurrent Idiopathic Pericarditis

被引：52

作者：

Lilly, Leonard S. ^{[1
,2
]}

机构：

[1] Brigham & Womens Hosp, Div Cardiovasc, Boston, MA 02115 USA

[2] Harvard Univ, Sch Med, Boston, MA USA

来源：

CIRCULATION | 2013年 / 127卷 / 16期

关键词：

colchicine; drug therapy; pericarditis; COLCHICINE; MANAGEMENT; DIAGNOSIS; THERAPY; CORTICOSTEROIDS; DISEASE;

D O I：

10.1161/CIRCULATIONAHA.111.066365

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Appropriate therapy for acute idiopathic pericarditis is an NSAID for ≈2 weeks, and it is also reasonable to prescribe colchicine for up to 3 months (the duration used in clinical trials), especially to reduce the rate of recurrence. For initially refractory symptoms, the parenteral NSAID ketorolac may be beneficial. For recurrent episodes of pericarditis, treatment with an NSAID plus colchicine is recommended, but for a more prolonged course. During NSAID treatment, concurrent gastric protection therapy should be considered. Only for truly refractory cases should glucocorticoid therapy be used. © 2013 American Heart Association, Inc.

引用

页码：1723 / 1726

页数：4

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