Most cases of pericarditis are mild; they clear up on their own or with rest and simple treatment. Other times, more intense treatment is needed to prevent complications. Treatment may include medicines and, less often, procedures or surgery.
The goals of treatment include:
As a first step in your treatment, your doctor may advise you to rest until you feel better and have no fever. He or she may tell you to take over-the-counter, anti-inflammatory medicines to reduce pain and inflammation. Examples of these medicines include aspirin and ibuprofen.
You may need stronger medicine if your pain is severe. If your pain continues to be severe, your doctor may prescribe a medicine called colchicine and, possibly, prednisone (a steroid medicine).
If an infection is causing your pericarditis, your doctor will prescribe an antibiotic or other medicine to treat the infection.
You may need to stay in the hospital during treatment for pericarditis so your doctor can check you for complications.
The symptoms of acute pericarditis can last from a few days to a few weeks. Chronic pericarditis may last for several months.
You may need treatment for complications of pericarditis. Two serious complications are cardiac tamponade and chronic constrictive pericarditis.
Cardiac tamponade is treated with a procedure called pericardiocentesis (per-ih-KAR-de-o-sen-TE-sis). A needle or tube (called a catheter) is inserted into the chest wall to remove excess fluid in the pericardium. This procedure relieves pressure on the heart.
The only cure for chronic constrictive pericarditis is surgery to remove the pericardium. This is known as a pericardiectomy (PER-ih-kar-de-EK-to-me).
The treatments for these complications require staying in the hospital.
Clinical trials are research studies that explore whether a medical strategy, treatment, or device is safe and effective for humans.
September 2, 2014
Gary H. Gibbons
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