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Pericarditis is swelling and irritation of the pericardium, which is the sac that surrounds your heart.
Pericarditis usually doesn't cause serious problems. Most people get better in 7 to 10 days. When there are problems, they may include:
Many things can cause pericarditis, including:
In many cases, the cause is not known.
The main symptom is a sharp pain in the center or left side of your chest. The pain may spread to the shoulder blade. For some people, this pain is dull instead of sharp. It may be worse when you lie down or take a deep breath.
The pain lasts for hours or days and doesn't get better when you rest. It's different from a type of chest pain called angina, which only lasts a short time and usually gets better with rest.
Other symptoms may include a mild fever, weakness, and feeling very tired.
Pericarditis usually isn't dangerous. But your chest pain could be caused by something more serious, like a heart attack. Getting diagnosed and treated early can help keep pericarditis from leading to other problems. That's why you should call a doctor right away if you have any kind of sudden chest pain.
Your doctor will listen to your heart during a physical exam. He or she will also ask questions about your medical history, such as whether you've had a recent illness, radiation treatment for cancer, or tuberculosis.
Your doctor may want you to have some tests, including an echocardiogram, electrocardiogram, chest X-ray, and blood tests.
If there are no other problems, pericarditis usually goes away on its own in a couple of weeks. During this time:
Be sure to keep all follow-up appointments with your doctor. If you have complications or the illness gets worse, you may need further treatment. This could include medicines or a procedure to relieve the fluid and pressure around your heart (pericardiocentesis).
Other Works ConsultedAdler Y, et al. (2015). ESC Guidelines for the diagnosis and management of pericardial diseases. European Heart Journal, 36(42): 2921-2964. DOI: doi/10.1093/eurheartj/ehv318. Accessed April 22, 2016.Hoit BD (2011). Pericardial disease. In V Fuster et al., eds., Hurst's the Heart, 13th ed., vol. 2, pp. 1917-1939. New York: McGraw-Hill.LeWinter MM, Hopkins WE (2015). Pericardial diseases. In DL Mann et al., eds., Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 10th ed., vol. 2, pp. 1636-1657. Philadelphia: Saunders.
ByHealthwise StaffPrimary Medical ReviewerRakesh K. Pai, MD - Cardiology, ElectrophysiologyE. Gregory Thompson, MD - Internal MedicineMartin J. Gabica, MD - Family MedicineKathleen Romito, MD - Family MedicineAdam Husney, MD - Family MedicineSpecialist Medical ReviewerStephen Fort, MD, MRCP, FRCPC - Interventional Cardiology
Current as ofDecember 6, 2017
Current as of: December 6, 2017
Author: Healthwise Staff
Medical Review: Rakesh K. Pai, MD - Cardiology, Electrophysiology & E. Gregory Thompson, MD - Internal Medicine & Martin J. Gabica, MD - Family Medicine & Kathleen Romito, MD - Family Medicine & Adam Husney, MD - Family Medicine & Stephen Fort, MD, MRCP, FRCPC - Interventional Cardiology
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