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 b fin ab lindings Blood WBC increase 1a anemia Ascites rarely Leak-out Hepatic normal ImpaIr CK-Mb or↑: myocardium normal CTNT Injur
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 g wave No Widespread calcification ORS Voltage ST-T Convex↑ except Non-specific in avR(V1) 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 ormal, 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