Acute Pericarditis Medical Slides
Generate publication-quality acute pericarditis lecture slides in 30 seconds. AI-powered content structured for clinical education.
Generate Acute Pericarditis DeckWhy teach Acute Pericarditis?
Acute pericarditis accounts for approximately 5% of emergency department chest pain presentations and is the most common pericardial disease encountered clinically. While most cases are idiopathic or viral with excellent prognosis, 15-30% of patients develop recurrent pericarditis. The COPE and CORP trials established colchicine as a cornerstone of both first-episode treatment and recurrence prevention.
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Acute Pericarditis Presentation FAQ
How should the ECG stages of pericarditis be presented for teaching?
Show four ECG stages sequentially: Stage 1 (diffuse concave ST elevation with PR depression, Spodick sign), Stage 2 (ST normalization, T-wave flattening), Stage 3 (diffuse T-wave inversions), Stage 4 (ECG normalization). Emphasize the key STEMI differentiators: diffuse rather than territorial ST elevation, PR depression (especially in lead II and aVR), absence of reciprocal changes, and ST/T ratio >0.25 in lead V6.
What colchicine evidence should be referenced in pericarditis slides?
Reference COPE (2005) showing colchicine added to ASA reduced recurrence from 32.3% to 10.7% in first episodes, and CORP (2011) confirming similar benefit for recurrent pericarditis. Present dosing: 0.5 mg BID (or 0.5 mg daily if <70 kg) for 3 months in first episode, 6 months for recurrence. Note the RHAPSODY trial establishing rilonacept (IL-1 trap) for colchicine-resistant recurrent pericarditis.
How should myopericarditis be addressed in teaching?
Define myopericarditis as pericarditis with troponin elevation but preserved LV function (vs perimyocarditis with LV dysfunction). Emphasize that cardiac MRI showing late gadolinium enhancement in a subepicardial pattern confirms myocardial involvement. Teaching point: exercise restriction for 3-6 months per the 2015 ESC guidelines, which is critical for young athletes presenting with chest pain.
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