Recherche PDF

More-severe cases can progress to pericardial effusion, pericardial constriction, recurrent pericarditis, or cardiac tamponade.6,7 The underlying etiology of pericarditis is quite variable and most commonly includes infection, malignancy, and rheumatologic conditions.6,7 This issue of Pediatric Emergency Medicine Practice provides an evidence-based approach to the evaluation and management of myocarditis and pericarditis in the pediatric patient, with an emphasis on recent advances in diagnosis and treatment.

Differential Diagnosis for Patients Presenting With Dyspnea Acute coronary ischemia Valvular dysfunction Cardiac arrhythmia Pulmonary embolism Myocarditis Hypertensive emergency Pericardial tamponade Severe anemia Worsening renal failure Sepsis Drug noncompliance Dietary indiscretion Medication side effect Thyroid dysfunction Copyright © 2017 EB Medicine.

Cardiac manifestations Cardiac manifestations of SSc include pericardial effusion, myocardial inflammation, conduction abnormalities and, eventually, cardiac failure.

Pericardial biomechanical adaptation to low frequency noise stress.

In addition, procedures that can result in intracranial, intraspinal, intraocular, retroperitoneal, intrathoracic, or pericardial bleeding are high-risk, with bleeding in these locations classified as major.34 Neuraxial anesthesia is a high-risk procedure.36,37 A SSE SSMEN T OF PER IPRO CEDUR A L For other procedures, we determine the severBL EEDING R ISK S ity of bleeding using criteria similar to those The risk of major periprocedural bleeding de- used for gastrointestinal endoscopic procedures pends on the type of procedure, and additional (Table S2 in the Supplementary Appendix).38 n engl j med 368;22  nejm.org  may 30, 2013 2115 The New England Journal of Medicine Downloaded from nejm.org at ASSISTANCE PUBLIQUE HOPITAUX PARIS on July 5, 2013.