Cardiologia Ambulatoriale - Outpatient Cardiology
https://www.cardiologiaambulatoriale.eu/understanding-treating-chronic-ischemic-heart-disease-need-new-approach-11-10-7/
Export date: Wed Jan 19 7:02:54 2022 / +0000 GMT

The bad kiss for the heart: a special case of myopericarditis


Il bacio che ha fatto male al cuore: caso particolare di miopericardite

Lucia Filippucci 1, Antonio Russo 1, Maria Gabriella Pinzagli 2
1 Cardiologia Diagnostica e Riabilitazione Intensiva; Perugia, USLUmbria1
2 Cardiologia Ambulatoriale; Umbertide, USLUmbria1


Abstract


La pericardite acuta ha una patogenesi multifattoriale ma, nella gran parte dei casi, è di natura virale. Il suo decorso è in genere benigno, guarendo solitamente senza complicazioni e senza reliquati. Solo in rari casi si complica con interessamento infiammatorio miocardico (miopericardite) e con un decorso estremamente minaccioso a causa di aritmie ventricolari e insufficienza cardiaca. Viene qui descritto un caso particolare, in cui un'anamnesi accurata ha permesso la diagnosi etiologica.


Parole chiave: Pericardite acuta; Miopericardite; Ecocardiografia; Risonanza magnetica cardiaca.




Abstract


Acute pericarditis has a multifactorial pathogenesis but, in most cases, it recognizes a viral nature. Its course is generally benign, usually healing without complications or sequelae. Only in rare cases acute pericarditis is complicated by the inflammatory involvement of the myocardium (myopericarditis). In such cases life threatening arrythmias or heart failure are frequent complications. Described herein is a particular case of acute pericarditis, in which a careful history has allowed the etiologic diagnosis.


Key words: Acute pericarditis; Myopericarditis; Echocardiography; Cardiac magnetic resonance.











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