Continuing Medical Education

An approach to the patient with suspected pericardial disease

Charles G Kyriakakis, Bongani M Mayosi, Elma de Vries, Abdul Isaacs, Anton F Doubell

Abstract


Diseases of the pericardium commonly manifest in one of three ways: acute pericarditis, pericardial effusion and constrictive pericarditis. In
the developed world, the most common cause of acute pericarditis is viral or idiopathic disease, while in the developing world tuberculous
aetiology, particularly in sub-Saharan Africa, is commonplace owing to the high prevalence of HIV. This article provides an approach to the
diagnosis, investigation and management of these patients.


Authors' affiliations

Charles G Kyriakakis, Division of Cardiology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Academic Hospital, Cape Town, South Africa

Bongani M Mayosi, Department of Medicine, Faculty of Health Sciences, Groote Schuur Hospital and University of Cape Town, South Africa

Elma de Vries, Department of Family Medicine, Mitchell’s Plain Hospital, Cape Town, South Africa

Abdul Isaacs, Division of Family Medicine, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, South Africa

Anton F Doubell, Division of Cardiology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Academic Hospital, Cape Town, South Africa

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Keywords

Pericardial disease

Cite this article

South African Medical Journal 2016;106(2):151-155. DOI:10.7196/SAMJ.2016.v106i2.10328

Article History

Date submitted: 2015-11-10
Date published: 2015-11-26

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