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Pericarditis - Understanding the cause of your chest pain

2025-09-16

That sharp chest pain could be more than just a muscle strain. Understanding pericarditis, an inflammation of the sac around your heart, is crucial for getting the right diagnosis and care. Don't ignore symptoms that could signal a serious heart condition.

What are the main causes of Pericarditis?

  • What is pericarditis? It is an inflammation of the pericardium, the thin sac surrounding your heart, which can become irritated for various reasons.
  • Common causes of pericarditis include viral infections, autoimmune disorders like lupus, and complications following a heart attack or heart surgery.
  • In many cases of acute pericarditis, the most common form of the condition, a specific cause is often difficult to identify.
Recognizing the key pericarditis symptoms
Recognizing the key pericarditis symptoms

Key symptoms of Pericarditis to watch for

  • The most common of all pericarditis symptoms is a sharp, stabbing chest pain when breathing deeply, which may improve when sitting up.
  • You might also experience a low-grade fever, general weakness or fatigue, a dry cough, and shortness of breath while lying down.
  • A serious complication is pericardial effusion, an excess fluid buildup around the heart that requires immediate medical attention.

How is Pericarditis treated and managed?

  • The primary pericarditis treatment is often anti-inflammatory medication, such as NSAIDs or colchicine, along with rest to reduce inflammation and pain.
  • For chronic pericarditis or recurrent cases, stronger medications may be needed, and sometimes a procedure to drain excess fluid is performed.
  • Distinguishing between pericarditis vs myocarditis is crucial, as is managing complications like constrictive pericarditis, a long-term scarring of the pericardium.

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Image of the disease Pericarditis - illustrating pericardial effusion

Ultrasound image showing a pericardial effusion
Ultrasound image showing a pericardial effusion
The signs and stages of acute pericarditis
The signs and stages of acute pericarditis
Common causes of pericarditis illustrated
Common causes of pericarditis illustrated
An overview of modern pericarditis treatment
An overview of modern pericarditis treatment
The long-term effects of chronic pericarditis
The long-term effects of chronic pericarditis
A visual explanation of what is pericarditis
A visual explanation of what is pericarditis
Describing chest pain when breathing
Describing chest pain when breathing

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While most cases of acute pericarditis are mild and resolve on their own, a proper diagnosis is essential. If you have sharp chest pain, seek immediate medical care to rule out other serious conditions.

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