Post-cardiac injury syndromes. An emerging cause of pericardial diseases

被引:153
作者
Imazio, Massimo [1 ]
Hoit, Brian D. [2 ]
机构
[1] Maria Vittoria Hosp, Dept Cardiol, I-10141 Turin, Italy
[2] Univ Hosp Case Med Ctr, Harrington Heart & Vasc Inst, Cleveland, OH USA
关键词
Post-pericardial injury syndrome; Post-cardiac injury syndrome; Post-pericardiotomy syndrome; Pericarditis; PERCUTANEOUS CORONARY INTERVENTION; PLACEBO-CONTROLLED TRIAL; OF-THE-LITERATURE; POSTPERICARDIOTOMY-SYNDROME; RECURRENT PERICARDITIS; COLCHICINE; CORTICOSTEROIDS; ANGIOPLASTY; PREVENTION; ANTIBODIES;
D O I
10.1016/j.ijcard.2012.09.052
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The term "post-cardiac injury syndromes" includes post-myocardial infarction pericarditis, post-pericardiotomy syndrome, and post-traumatic pericarditis (iatrogenic, i.e. after percutaneous coronary or intracardiac interventions, such as pacemaker lead insertion, radiofrequency ablation, or non-iatrogenic, i.e. following blunt or penetrating trauma). All these conditions represent different clinical conditions characterized by an initial cardiac injury involving the pericardium/myocardium and/or pleura and the subsequent inflammatory syndrome ranging from simple, uncomplicated pericarditis to more complicated cases with pleuropericarditis, cardiac tamponade or massive pleural effusion. The etiopathogenesis is presumed to be immune-mediated in predisposed individuals that develop autoreactive reactions following the initial traumatic event. Treatment is essentially based on empirical anti-inflammatory therapy and adjunctive colchicine, which has been shown to be safe and efficacious for the prevention of pericarditis. (c) 2012 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:648 / 652
页数:5
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