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
Improved
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