Prehospital diagnostic acute pericarditis

• Main Authors: Milutinović Vojislava, Milutinović Vladimir
• Format: Article
• Language: English
• Published: Serbian Medical Society, Department of Emergency Medicine, Belgrade 2016-01-01
• Series: ABC: časopis urgentne medicine
• Subjects: chest pain; diagnosis; acute pericarditis
• Online Access: https://scindeks-clanci.ceon.rs/data/pdf/1451-1053/2016/1451-10531602040M.pdf

Introduction: Chest pain is a common issue in the differential diagnosis prehospital emergency work. It may be a sign of serious life-threatening diseases such as acute coronary syndrome, aortic dissection, pulmonary embolism and acute pneumothorax. The aim is to indicate that in patients with chest pain other diseases should be considered not just the acute coronaru sundrome which first think of. Materials and methods: the data from the medical reports have been used to present the case of a patient with acute pericarditis. Case report: shows the case of a previously healthy 63-year-old man, who called the emergency room for chest pain. He has a strong retrosternal pain accompanied by sweating and nausea, which occurred suddenly, for the first time in his life, 2.5 h before seeking help, and which increases in the supine position and inspirium and reduces in the sitting position, with the expansion in the neck and shoulders. He describes it as intense pain intensity 8/9.EKG registered sinus rhythm, concave ST elevation of 1 mm in D1, D2, aVF, aVL, V4-V6, without reciprocal change. The patient was transported to the emergency medical institution, with the diagnosis of acute pericarditis, which is confirmed after laboratory and ultrasound diagnostics. During hospitalization, the patient was treated with nonsteroidal anti-inflammatory drugs, which he conveniently reacted to and after three days he was discharged home to continue his treatment. Conclusion: When examining a patient with chest pain it is necessary to consider all the differential diagnosis because they are treated differently.