What are poor prognostic factors in acute pericarditis?

Updated: Apr 02, 2019
  • Author: Sean Spangler, MD; Chief Editor: Terrence X O'Brien, MD, MS, FACC  more...
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Answer

Poor prognostic factors include the following features at presentation [1, 3, 4] :

  • Temperature above 100.4ºF (38ºC)
  • Subacute disease course
  • Presence of a large pericardial effusion or tamponade
  • Unsuccessful therapy with aspirin or nonsteroidal anti-inflammatory agents

Minor predictors of poor prognosis include the following [3, 4] :

  • Myopericarditis
  • Immunosuppression
  • Trauma
  • Oral anticoagulation therapy

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