Page 80 - GALENIKA MEDICAL JOURNAL

Zaključak

Prognoza bolesnika sa akutnim perikarditisom uglavnom je dobra. Akutni perikarditis se može javiti
kod bolesnika bilo kog životnog doba, ali je češći kod mlađih osoba i osoba muškog pola. Simptomi
bolesti su obično blagi do umjereni, ali su kod pojedinih bolesnika inicijalne tegobe jako izražene.
Često je prisutno perikardno trenje. Bolest obično traje od nekoliko dana do četiri nedjelje, ali jedan
ili više recidiva može da se pojavi kod približno jedne četvrtine bolesnika. Iako se kod pojedinih

bolesnika otkriva prisustvo značajnog perikardnog izliva, rijetko dolazi do srčane tamponade.
Konstriktivni perikarditis je rijetka, ali moguća komplikacija i najčešće je povezan sa recidivima
bolesti. Smatra se da je hitna klinička procjena od strane iskusnog invazivnog peri-kardiologa
krucijalna u rješavanju ovako teških slučajeva. Ehokardiografija je ostala zlatni standard u
brzom otkrivanju bolesnika sa akutnom srčanom tamponadom, pored standardnog kliničkog,
elektrokardiografskog i radiografskog ispitivanja. Perikardiocenteza, urađena subksifoidnim ili
apikalnim pristupom je procedura izbora za hitno zbrinjavanje bolesnika sa srčanom tamponadom.
Ukoliko se sa ovom procedurom zakasni u akutnoj fazi bolesti dolazi do srčanog zastoja i fatalnog
kliničkog ishoda.

Abstract

Acute pericarditis is caused by an inflammatory process in the pericardial tissue, and as a response to the inflammation, a
pericardial effusion occurs. Acute accumulation of even smaller amounts of pericardial fluid can lead to cardiac tamponade.
Pericardiocentesis is a procedure used to urgently evacuate pericardial effusion and treat patients with cardiac tamponade.

Keywords: acute pericarditis, pericardial effusion, cardiac tamponade, pericardiocentesis

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78 DOI: 10.5937/Galmed2307078S