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Pericarditi, Miocarditi e CMP infiammatorie: cosa c’è di nuovo? Pericarditi

Pericarditi, Miocarditi e CMP infiammatorie: cosa c’è di nuovo? Pericarditi . Massimo Imazio, MD, FESC Dipartimento di Cardiologia Ospedale Maria Vittoria, Torino. Pericardite. Medico di Guardia. Eziologia, Diagnosi. Imazio M, et al. Circulation. 2007;115:2739.

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Pericarditi, Miocarditi e CMP infiammatorie: cosa c’è di nuovo? Pericarditi

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  1. Pericarditi, Miocarditi e CMP infiammatorie: cosa c’è di nuovo? Pericarditi Massimo Imazio, MD, FESC Dipartimento di Cardiologia Ospedale Maria Vittoria, Torino

  2. Pericardite Medico di Guardia

  3. Eziologia, Diagnosi

  4. Imazio M, et al. Circulation. 2007;115:2739

  5. Int J Clin Pract 2007; 61: 138 “Everything may cause pericarditis…” Imazio M et al. Future Cardiology 2007; 3: 623

  6. Viral(most common: Echovirus and Coxsackievirus (usual), Influenza, EBV, CMV, Adenovirus, Varicella, Rubella, Mumps, HBV, HCV, HIV, Parvovirus B19 and Human Herpes Virus 6 (increasing reports); Bacterial (most common: tuberculous (4-5%), Coxiella burnetii (5-7%?), other bacterial rare may include Pneumo-, Meningo-, Gonococcosis, Haemophilus, Staphylococci, Chlamydia, Mycoplasma, Legionella, Leptospira, Listeria) Fungal (rare: Histoplasma more likely in immunocompetent patients, Aspergillosis, Blastomycosis, Candida more likely in immunosuppressed host) Parasitary (very rare: Echinococcus, Toxoplasma) Major infectious agents SYSTEMATIC BATTERY OF SEROLOGICAL TESTS Levy PY et al.Future MIcrobiol 2006; 1(2):229

  7. Acute pericarditis: etiology Imazio M, et al. Circulation. 2007;115:2739 Imazio M, Trinchero R. Future Cardiology 2007; 3: 623

  8. Triage in acute pericarditis

  9. Diagnostic criteria Imazio M, Trinchero R. J Cardiovasc Med 2007; 8: 404

  10. Etiologic screening

  11. Am J Cardiol 2007; 99: 1294-7

  12. Pathogenesis of recurrences Imazio M, Trinchero R. Future Cardiology 2007; 3: 623

  13. Etiology of recurrent pericarditis

  14. Terapia

  15. ASA o FANS Imazio M et al. J Cardiovasc Med 2007; 8: 748

  16. Corticosteroidi come FR per le recidive Imazio M, Trinchero R Rec Prog Med 2006; 98(5):265-70 Imazio M, et al. Circulation. 2007;115:2739

  17. Nature Cardiovasc Med 2008; in press

  18. Cleve Clin J Med 2007; 74: 385-6

  19. COPE: COlchicine for acute PEricarditis NNT= 5 Corticosteroid therapy: Recurrences OR 4.30 95% CI 1.21 to 15.25; p=0.024 Drug withdrawal Imazio M et al. Circulation 2005; 112(13):2012-6.

  20. Colchicina e recidive Imazio M, Trinchero R Rec Prog Med 2006; 98(5):265-70

  21. Colchicina e storia naturale della pericardite recidivante Attack rate Rec/pt/month Brucato A et al. Clin Exp Rheumatol. 2006;24(1): 45-50

  22. Colchicine: How does it work? Imazio M, Trinchero R. Future Cardiology 2007; 3: 623

  23. Imazio M, Trinchero R. Future Cardiology 2007; 3: 623

  24. Colchicina e pericardite:Trials in corso Imazio M et al. JCM 2007; Dic; 8(12):1044-8 Imazio M et al. JCM 2007; Oct;8(10):830-4 Imazio M et al. JCM 2007; Aug;8(8):613-7.

  25. Clin Sci 2007; 113(11):443-8

  26. JCM 2007; 8: 748-53

  27. Prognosi

  28. Am J Cardiol 2007; 100:1026

  29. MOST CASES ARE BENIGN, TRIAGE FOR DECISION-MAKING MD on duty

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