Resumo

MARIN, Jorge E; DUQUE, Mauricio; URIBE, William  e  MEDINA, Eduardo. Pericardial disease and myocarditis: management guide. Rev. Col. Cardiol. [online]. 2005, vol.11, n.7, pp.319-332. ISSN 0120-5633.

Pericardium is a structure that can be primarily affected by a series of different agents and in a secondary way by systemic processes. Its response is not specific and in general it corresponds to an inflammatory process that can be acute, chronic or recurrent. The recognition of these pathologies is of vital significance in the making of a right therapeutic approach. Some basic orientations for the correct classification, diagnosis and therapy of main pericardial syndromes, based on clinical and etiological aspects and paraclinical available aids are presented. Likewise, some recommendations for the specific treatment of each one of the main entities usually affecting the pericardium are given. Next, a brief mention of some physiopathological aspects of acute myocarditis, its main etiologies, and the treatment of the cardiac failure secondary to the disease with its specific differences, is made, and the controversy on its handling with immunosuppressors and the experimental therapy measures are studied in depth. We intended to follow until possible the recommendations of medicine based on evidence with grades already recognized in international medical literature.

Palavras-chave : pericarditis; pericardial effusion; cardiac tamponade; constrictive pericarditis; pericardiocentesis; pericardiectomy; myocardiopathies; myocarditis.

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