How do you treat pericarditis after MI?
Aspirin is first line for anti-inflammatory therapy of post-myocardial infarction (MI) pericarditis, as well as for individuals receiving antiplatelet therapy (class I, level C evidence). Consider adding colchicine to aspirin/NSAIDs to treat PCIS, as for treating acute pericarditis (class IIa, level B evidence).
How would you treat a patient with pericarditis?
TreatmentPain relievers. Pericarditis pain can usually be treated with over-the-counter pain relievers, such as aspirin or ibuprofen (Advil, Motrin IB, others). ... Colchicine (Colcrys, Mitigare). This drug reduces inflammation in the body. ... Corticosteroids. Corticosteroids are strong medications that fight inflammation.
Which of the following is the first line treatment for acute pericarditis?
Aspirin or NSAIDs are recommended as first-line therapy for acute pericarditis with gastroprotection. Colchicine is recommended as first-line therapy for acute pericarditis as an adjunct to aspirin/NSAID therapy.
What medication is contraindicated in pericarditis?
Corticosteroids should not be used for initial treatment of pericarditis unless it is indicated for the underlying disease, the patient's condition has no response to NSAIDs or colchicine, or both agents are contraindicated.
What is pericarditis and how is it treated?
Pericarditis often causes sharp chest pain. The chest pain occurs when the irritated layers of the pericardium rub against each other. Pericarditis is usually mild and goes away without treatment. Treatment for more-severe cases may include medications and, rarely, surgery.
What is the role of colchicine in pericarditis?
Colchicine is an anti-inflammatory agent that works by inhibiting tubulin polymerization, thereby interfering with migration and phagocytosis and reducing the inflammatory cycle. For acute pericarditis, colchicine is generally used in combination with other therapies.
What is the treatment for myocarditis and pericarditis?
Many cases are mild and may improve with rest. Your child's doctor may recommend over-the-counter medications to help with pain. More severe cases may result in pericardial tamponade, a buildup of fluids that increases pressure on the heart. This may require emergency drainage of excess fluids.
Why aspirin is given in pericarditis?
NSAIDs (including aspirin) function to both reduce inflammation and relieve pain in most patients [7,8,13,15-17]. Despite these benefits, however, there is no evidence that NSAIDs alter the natural history of acute pericarditis.
Is heparin contraindicated in pericarditis?
Other Considerations: Unless it is necessary, anticoagulation (e.g., heparin, warfarin) should be avoided in acute pericarditis to reduce the risk of hemopericardium.
Do beta-blockers help pericarditis?
The use of beta-blockers in addition to standard anti-inflammatory therapies may improve symptom control in patients with pericarditis, according to results published in The American Journal of Cardiology. “Pericardial pain is triggered and worsened by friction of inflamed pericardial layers.
What antibiotics are used for pericarditis?
Bacterial Pericarditis In immunocompetent patients, the antibiotic regimen is vancomycin 15 mg/kg IV q12h plus ceftriaxone 1-2 g IV q12h.
What is the action of colchicine?
Colchicine works by decreasing swelling and lessening the build up of uric acid crystals that cause pain in the affected joint(s). This medication is also used to prevent attacks of pain in the abdomen, chest, or joints caused by a certain inherited disease (familial Mediterranean fever).