Ep 166 Pericarditis and Cardiac Tamponade

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 15 March 2022

⏱️ 81 minutes

🔗️ Recording | iTunes | RSS

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Summary

Why should pericarditis be considered a diagnosis of exclusion? Which clinical features are most useful in the diagnosis of pericarditis? What are the most common pitfalls in the ECG interpretation? What are the best ways to differentiate the ECG of pericarditis from that of MI and early repolarization? How is uncomplicated viral pericarditis treated differently compared to pericarditis with other etiologies? Why is it so important to include colchicine as part of the treatment of pericarditis? Which patients with pericarditis require admission? and many more...

Transcript

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0:00.0	Welcome to the Emergency Medicine Cases podcast.
0:05.0	I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC studios in Toronto.
0:13.9	EM cases is part of SREMI, Schwartz-Risman Emergency Medicine Institute, the nonprofit organization dedicated to improving EM care through research and
0:21.3	education and education purposes only. The opinions expressed on this podcast are intended for
0:23.7	information and education purposes only and should not be used to diagnose treat or prevent any medical
0:26.1	condition, nor should they be used as a substitute for medical advice and qualified practicing
0:28.1	physician. Let me ask you a question. When was the last time you considered pericarditis
0:35.5	or myocarditis in a patient presenting with chest
0:39.1	pain or shortness of breath with or without fever. I'll give you a second to think about that case.
0:46.7	Now for me, if I'm going to be honest with myself, pre-COVID pandemic, unless it was obvious,
0:53.5	I didn't consider these diagnoses very often because
0:56.6	things like MI, PE, dissection, pneumonia, pneumothorax are all generally at the front of my mind
1:03.2	in patients who present with chest pain, shortness of breath with or without fever.
1:08.1	And fair enough, paracarditis and myocarditis are generally less life-threatening than
1:12.6	some of these diagnoses and are way less common than, say, pneumonia. Then COVID hit. And suddenly,
1:22.0	everyone is talking about paracarditis and myocarditis. Now, early in 2022, when I see a patient with shortness of breath
1:29.6	or chest pain or fever, sure, I still consider the same list of big killers and common stuff,
1:35.2	but now paraccharitis and myocarditis somehow push their way a little bit higher on my list.
1:42.1	Now, should they be? Well, this is just one of the many questions
1:46.9	we're going to answer in this two-part podcast series on pericarditis and myocarditis with our two
1:52.2	guests, who you all probably know by now, my EM colleague from North York General, Walter Himmel,
1:57.4	and Paul Dorian, our go-to master cardiologist, clinician, educator, and researcher.
	...

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