What are other approach considerations in the treatment of acute MI pericarditis?

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

Avoid NSAIDs and corticosteroids in acute MI pericarditis, because they may interfere with ventricular healing, remodeling, or both.

Avoid corticosteroid therapy in viral pericarditis (class III, level C evidence). [3]

When cardiac irradiation is necessary, use radiation therapy methods that reduce the irradiation volume and the dose whenever possible (class I, level C evidence). [3]

For cases of complicated pericarditis, therapies targeting the inflammasome may result in more durable remission and resolution. [28]

Patients may require transfer to a hospital setting in which hemodialysis and cardiothoracic surgery are available.

For more information, see the Medscape Drugs and Diseases topics Constrictive Pericarditis, Effusive-Constrictive Pericarditis, and Pediatric Infective Pericarditis.


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