What conditions can be confused with the classic features of 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

The classic feature of chest pain and dyspnea with pericarditis may be subtle and can be confused with other diagnoses, particularly in elderly individuals. Be careful not to confuse pericarditis with esophageal disorders, costochondritis, or other causes of noncardiac chest pain. Pericarditis may occur after renal transplantation, which may be related to uremia or infections (eg, cytomegalovirus [CMV]). Liver disease has been noted in asymptomatic constrictive pericarditis.


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