Pericarditis Symptoms & Diagnosis

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