Clinical Manifestation -- Signs Acute pericarditis C-Constr-Peric Friction rub ++++ transient Enlargement on ++ percussion Edema. ascites + +++ Pulsus paradoxus +++ (10mmHg) Jugular vein +++ + distension
Acute pericarditis C-Constr-Peric Friction rub + + + + transient － Enlargement on percussion －----+ + + － Edema, ascites －--- + + －--- + + + + Pulsus paradoxus (>10mmHg) －--- + + + －--- + Jugular vein distension －--- + + + －--- + + Clinical Manifestation --- Signs
Acute Pericarditis C-Constr Peric Lab findings Blood WBC increase anemia Ascites rarely Leak-out He hepatic norm impaIr CK-Mb or :m myocardium normal CTNT Injury
Acute Pericarditis C-Constr Peric Lab findings Blood WBC increase anemia Ascites rarely Leak-out Hepatic: normal impair CK-Mb or cTNT ↑: myocardium injury normal
Acute Peric C-Constr Peric Electrocardiology P wave Normal 50% notch Abnormal q wave No Widespread calcification QRS VOltage ST-T Convex↑ except Non-specific in avR (VI) Arrhythmia Sinus tachycardia Afib. A-v block
Acute Peric C-Constr Peric Electrocardiology P wave Normal 50%: notch Abnormal q wave No Widespread calcification QRS Voltage ↓ ↓ ST-T Convex ↑except in avR (V1) Non-specific Arrhythmia Sinus tachycardia Afib, A-V block
Acute Peric C-Constr Peric E cho fluid p Normal. rarely calcification Chest X-ray Enlarged shadow orma Bottle-like Small and straight Calcification ct or MRI Fluid Pericardium thickening Etiology diagnosis
Acute Peric C-Constr Peric Echo fluid Normal, rarely calcification Chest X-ray Enlarged shadow Bottle-like Normal, Small and straight, Calcification CT or MRI Fluid Pericardium thickening Etiology diagnosis