{"id":8312,"date":"2025-08-13T19:09:57","date_gmt":"2025-08-13T16:09:57","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=8312"},"modified":"2025-08-13T19:09:57","modified_gmt":"2025-08-13T16:09:57","slug":"new-acc-2025-guidance-on-pericarditis-source-journal-of-the-american-college-of-cardiology-6-august-2025","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/new-acc-2025-guidance-on-pericarditis-source-journal-of-the-american-college-of-cardiology-6-august-2025\/","title":{"rendered":"New ACC 2025 Guidance on Pericarditis Source: Journal of the American College of Cardiology, 6 August 2025."},"content":{"rendered":"
New ACC 2025 Guidance on Pericarditis<\/div>\n
Source: Journal of the American College of Cardiology, 6 August 2025.<\/div>\n
<\/div>\n
1. Condition Overview:<\/span><\/div>\n
\u2022 Pericarditis = inflammation of the pericardium; ~5% of ED chest pain cases.<\/span><\/div>\n
\u2022 Most common in men aged 16\u201365; recurrent cases more frequent in women.<\/span><\/div>\n
\u2022 Causes vary: idiopathic\/viral (high-income countries), tuberculosis (low-income), infection, autoimmune disease, post-cardiac injury, others.<\/span><\/div>\n
2. Diagnosis & First-Line Imaging:<\/span><\/div>\n
\u2022 Transthoracic echocardiography (TTE) is the primary, first-line imaging tool in all suspected cases.<\/span><\/div>\n
\u2022 In most uncomplicated cases, TTE alone is sufficient for diagnosis and follow-up.<\/span><\/div>\n
3. When Additional Imaging is Needed:<\/span><\/div>\n
\u2022 Cardiac MR (CMR): when diagnosis is unclear on echo, for tissue characterization, inflammation detection, or recurrent cases.<\/span><\/div>\n
\u2022 Cardiac CT (CCT): for suspected pericardial calcification, constrictive pericarditis, pre-surgical planning, or ruling out other causes of chest pain (e.g., aortic syndrome, PE, CAD).<\/span><\/div>\n
\u2022 Additional imaging is not routine\u2014it is reserved for specific clinical indications.<\/span><\/div>\n
4. Classification:<\/span><\/div>\n
\u2022 Pericarditis is classified by etiology, clinical course, morphology, and pericardial fluid characteristics (type, size, hemodynamic effect).<\/span><\/div>\n
5. Treatment Principles:<\/span><\/div>\n
\u2022 First-line: NSAIDs and colchicine with physical activity restriction. Acute pericarditis is treated with an NSAID plus colchicine from day 1.<\/span><\/div>\n
Ibuprofen (Brufen): 600\u2013800 mg orally every 8 h until symptoms and CRP normalize, then taper over 1\u20132 weeks; give a PPI for gastric protection. Avoid in severe renal impairment.<\/div>\n
Colchicine: \u226570 kg: 0.5\u20130.6 mg twice daily; <70 kg, age >70, or moderate renal impairment: once daily. Duration: 3 months (6\u201312 months if recurrent). Avoid in severe kidney\/liver disease<\/div>\n
\u2022 If inadequate response: consider IL-1 inhibitors (e.g., rilonacept, anakinra) or corticosteroids when indicated.<\/span><\/div>\n
\u2022 Pericardiectomy for resistant\u00a0 or constrictive cases.<\/span><\/div>\n
6. Centers of Excellence (Pericardial Disease Centers \u2013 PDCs):<\/span><\/div>\n
\u2022 Provide multidisciplinary expertise for recurrent\/refractory pericarditis.<\/span><\/div>\n
\u2022 Improve outcomes through standardized protocols, access to clinical trials, and monitoring of new therapies and adverse events.<\/span><\/div>\n
<\/div>\n
https:\/\/www.jacc.org\/doi\/10.1016\/j.jacc.2025.05.023<\/a><\/div>\n
<\/div>\n","protected":false},"excerpt":{"rendered":"

New ACC 2025 Guidance on Pericarditis Source: Journal of the American College of Cardiology, 6 August 2025. 1. Condition Overview: \u2022 Pericarditis = inflammation of the pericardium; ~5% of ED chest pain cases. \u2022 Most common in men aged 16\u201365; recurrent cases more frequent in women. \u2022 Causes vary: idiopathic\/viral (high-income countries), tuberculosis (low-income), infection, […]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8312","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8312","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=8312"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8312\/revisions"}],"predecessor-version":[{"id":8313,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/8312\/revisions\/8313"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=8312"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=8312"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=8312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}