Q: 24 years old female at 29 weeks of gestation presented with acute chest pain. She was diagnosed with acute idiopathic pericarditis. Which of the following should be used? - select one
A) NSAIDs
B) Glսϲοϲοrtiϲοids
Answer: B
Pericarditis can occur during pregnancy, and it's usually treated with medication. The treatment plan depends on the stage of pregnancy and the type of pericarditis.
Types of pericardial disease
Pericardial effusion:
This is the most common type of pericardial disease in pregnancy; it's usually mild and benign and resolves on its own after delivery.
Acute pericarditis:
The second most common type of pericardial disease in pregnancy, it usually requires medical treatment.
Cardiac tamponade:
A rare type of pericardial disease in pregnancy, it's caused by fluid building up in the sac around the heart.
Treatment:
Non-steroidal anti-inflammatory drugs (NSAIDs) can be used up to the 20th week of pregnancy. Examples include ibuprofen and indomethacin.
Colchicine: Can be used throughout pregnancy to prevent recurrences.
Low-dose prednisone: Can be taken throughout pregnancy.
Azathioprine: Can be used to treat pericarditis.
Intravenous immunoglobulin (IVIG) can also be used to treat pericarditis.
#Ob-gyn
#cardiology
References:
1. Serati L, Carnovale C, Maestroni S, Brenna M, Smeriglia A, Massafra A, Bizzi E, Picchi C, Tombetti E, Brucato A. Management of acute and recurrent pericarditis in pregnancy. Panminerva Med. 2021 Sep;63(3):276-287. doi: 10.23736/S0031-0808.21.04198-7. Epub 2021 Mar 9. PMID: 33687181.
2. Serati L, Mardigyan V, Dominioni CC, Agozzino F, Bizzi E, Trotta L, Nivuori M, Maestroni S, Negro E, Imazio M, Brucato A. Pericardial Diseases in Pregnancy. Can J Cardiol. 2023 Aug;39(8):1067-1077. doi: 10.1016/j.cjca.2023.04.010. Epub 2023 Apr 20. PMID: 37086835.
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