McNamara Nicholas, Ibrahim Abdalla, Satti Zahir, Ibrahim Munir, Kiernan Thomas J
Cardiology department, Graduate Entry Medical School, University of Limerick, Limerick, Ireland.
Cardiology Department, University Hospital Limerick, Dooradoyle, Limerick, Ireland.
Future Cardiol. 2019 Mar;15(2):119-126. doi: 10.2217/fca-2017-0102. Epub 2019 Mar 8.
This review examined the relevance of chest pain, pericardial friction rub, pericardial effusion and ECG changes in regard to the diagnosis of acute pericarditis. It also assessed the evidence for the management and therapeutic guidelines, specifically nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine and corticosteroids. Overall, there appears to be a lack of research into pericarditis. The bulk of high-quality research seems to have been carried out prior to the publication of the European Society of Cardiology guidelines of 2015. Diagnostically, the current combination of symptoms, clinical signs and investigations offer reasonable criteria for diagnosis, but they are not a gold standard. Research into its therapeutic treatment options is required to address the effects of specific nonsteroidal anti-inflammatory drugs (NSAIDs).
本综述探讨了胸痛、心包摩擦音、心包积液及心电图变化在急性心包炎诊断中的相关性。还评估了管理及治疗指南的证据，特别是非甾体抗炎药（NSAIDs）、秋水仙碱和皮质类固醇。总体而言，似乎缺乏关于心包炎的研究。大部分高质量研究似乎是在2015年欧洲心脏病学会指南发布之前进行的。在诊断方面，目前症状、临床体征和检查的综合运用为诊断提供了合理的标准，但并非金标准。需要对其治疗选择进行研究，以探讨特定非甾体抗炎药（NSAIDs）的疗效。
