Pericarditis Symptoms & Diagnosis

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Pericarditis Guide

Christine Jeffries

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Symptoms

Chest pain is a common symptom of pericarditis, especially over the left side or center of the chest. It sometimes spreads to the neck and left shoulder. It is usually a sharp, stabbing pain. Deep breathing or lying down may worsen the pain. Sitting up may lessen it. Other symptoms may include:

  • Shortness of breath
  • Coughing
  • Fever and chills
  • Pain when swallowing
  • Weakness and fatigue

Diagnosis

The doctor will ask about your symptoms and medical history and perform a physical exam. A stethoscope will be used to listen for a grating or rubbing sound in your heart. If the condition is severe, there may be a crackle sound in your lungs. The following tests may be performed:

  • Chest x-ray —to show heart size and buildup of fluid
  • Electrocardiograph (ECG or EKG)—to show electrical activity of the heart
  • Echocardiogram —to show heart wall motion, heart size, and buildup of fluid
  • Blood tests—to help determine causes
  • Pericardiocentesis—drawing a sample of the fluid in the pericardium using a needle to test the fluid for infections
  • Heart or chest MRI or CT scan —to obtain more detailed images if needed

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