Differential diagnosis of pericarditis. Part I: Anatomical and physiological characteristics of the pericardium, chest pain syndrome, and pericardial effusion
Inflammatory involvement of the pericardium (ranging from effusion to wall thickening), whether accompanied by chest pain or not, presents challenges not only in diagnosis and therapy, but also in examination, due to the diverse etiologies of pericardial disease.This article reviews current approach...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
«FIRMA «SILICEA» LLC
2025-03-01
|
| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/6230 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850025354570235904 |
|---|---|
| author | V. Yu. Myachikova O. M. Moiseeva |
| author_facet | V. Yu. Myachikova O. M. Moiseeva |
| author_sort | V. Yu. Myachikova |
| collection | DOAJ |
| description | Inflammatory involvement of the pericardium (ranging from effusion to wall thickening), whether accompanied by chest pain or not, presents challenges not only in diagnosis and therapy, but also in examination, due to the diverse etiologies of pericardial disease.This article reviews current approaches to the diagnosis and treatment of patients with pericardial effusion and pericarditis, which may manifest as chest pain or proceed asymptomatically. Anatomical and physiological characteristics of the pericardium, mechanisms of effusion development and tamponade are described. Diagnostic algorithms for chest pain syndrome typical for pericarditis and asymptomatic effusion are provided. The article includes recommendations for differential diagnosis of pericardial inflammation causes, an analysis of complication risks, and indications for anti-inflammatory therapy and interventional procedures. Emphasis is placed on optimizing patient management through risk stratification and clinical performance. |
| format | Article |
| id | doaj-art-2fa2983d58cb4c3caf029f04023422f2 |
| institution | DOAJ |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2025-03-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-2fa2983d58cb4c3caf029f04023422f22025-08-20T03:00:51Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202025-03-0130210.15829/1560-4071-2025-62304314Differential diagnosis of pericarditis. Part I: Anatomical and physiological characteristics of the pericardium, chest pain syndrome, and pericardial effusionV. Yu. Myachikova0O. M. Moiseeva1Almazov National Medical Research Center; Botkin Clinical Infectious Diseases HospitalAlmazov National Medical Research CenterInflammatory involvement of the pericardium (ranging from effusion to wall thickening), whether accompanied by chest pain or not, presents challenges not only in diagnosis and therapy, but also in examination, due to the diverse etiologies of pericardial disease.This article reviews current approaches to the diagnosis and treatment of patients with pericardial effusion and pericarditis, which may manifest as chest pain or proceed asymptomatically. Anatomical and physiological characteristics of the pericardium, mechanisms of effusion development and tamponade are described. Diagnostic algorithms for chest pain syndrome typical for pericarditis and asymptomatic effusion are provided. The article includes recommendations for differential diagnosis of pericardial inflammation causes, an analysis of complication risks, and indications for anti-inflammatory therapy and interventional procedures. Emphasis is placed on optimizing patient management through risk stratification and clinical performance.https://russjcardiol.elpub.ru/jour/article/view/6230pericarditishydropericardiumpericardial effusion |
| spellingShingle | V. Yu. Myachikova O. M. Moiseeva Differential diagnosis of pericarditis. Part I: Anatomical and physiological characteristics of the pericardium, chest pain syndrome, and pericardial effusion Российский кардиологический журнал pericarditis hydropericardium pericardial effusion |
| title | Differential diagnosis of pericarditis. Part I: Anatomical and physiological characteristics of the pericardium, chest pain syndrome, and pericardial effusion |
| title_full | Differential diagnosis of pericarditis. Part I: Anatomical and physiological characteristics of the pericardium, chest pain syndrome, and pericardial effusion |
| title_fullStr | Differential diagnosis of pericarditis. Part I: Anatomical and physiological characteristics of the pericardium, chest pain syndrome, and pericardial effusion |
| title_full_unstemmed | Differential diagnosis of pericarditis. Part I: Anatomical and physiological characteristics of the pericardium, chest pain syndrome, and pericardial effusion |
| title_short | Differential diagnosis of pericarditis. Part I: Anatomical and physiological characteristics of the pericardium, chest pain syndrome, and pericardial effusion |
| title_sort | differential diagnosis of pericarditis part i anatomical and physiological characteristics of the pericardium chest pain syndrome and pericardial effusion |
| topic | pericarditis hydropericardium pericardial effusion |
| url | https://russjcardiol.elpub.ru/jour/article/view/6230 |
| work_keys_str_mv | AT vyumyachikova differentialdiagnosisofpericarditispartianatomicalandphysiologicalcharacteristicsofthepericardiumchestpainsyndromeandpericardialeffusion AT ommoiseeva differentialdiagnosisofpericarditispartianatomicalandphysiologicalcharacteristicsofthepericardiumchestpainsyndromeandpericardialeffusion |