study of patients admitted with acute pericarditis in a tertiory care centre.

Dr.Dhara Bhavesh Roy

Volume : III, Issue : XII, December - 2014

study of patients admitted with acute pericarditis in a tertiory care centre.

Dr. Dhara Bhavesh Roy

Abstract :

Aim: A detailed analytical study of clinical features , investigations and treatment of patients with acute pericar- ditis . Method: Clinical case records were collected from October 2012 to October 2014 (2 years) of all the patients admitted with acute peri- carditis in L.G. General hospital. Variables like chest pain and its characteristics , associated symptoms ,investigation details , treatment modalities and condition on discharge were noted. Results: Total 59 patients were included with 73.9% male and mean age of presentation was 38.8 years. Typical pleuritic type of chest pain was present in about twothird while other had dullaching, feeling of heaviness or nonspecific types of chest pain. A pericardial rub was present in only 7 cases. ECG changes of upsloping ST elevation was present in 69.3% while PR segment depression was present in 43%. None of the patients were treated with colchicines in our study. Conclusions Acute Pericarditis is one of the clinical conditions which may not follow the classical clinical description. Admission and discharge deci- sions appear to relate to individual clinical characteristics rather than known risk factors. Use of colchicines may have a promising role to prevent recurrence.