Pericarditis: Diagnosis,management, and return to play |
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Authors: | Peter H Seidenberg MD James Haynes MD |
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Institution: | (1) Primary Care Sports Medicine Fellowship, Department of Community and Family Medicine, Department of Pediatrics, Saint Louis University School of Medicine, 301 West Lincoln, Suite 210, 62220 Belleville, IL, USA |
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Abstract: | In athletes who present to their team physician with complaints of chest pain, the diagnosis of pericarditis should be entertained.
Although generally self-limited, potential complications include cardiac tamponade and recurrent pericarditis. The typical
scenario is of an athlete who had a recent viral upper respiratory illness and now presents with chest pain, friction rub,
and characteristic electrocardiographic changes. Additional recommended testing includes complete blood count, erythrocyte
sedimentation rate and/or C-reactive protein, cardiac enzymes, chest radiographs, and echocardiogram with Doppler. During
acute pericarditis, participation in athletics is contraindicated. Return to play is permissible after there is no longer
evidence of active disease. This is confirmed by the absence of effusion on echocardiography and normalization of serum markers
of infiammation. |
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Keywords: | |
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