ما هو العلاج الخط الأول لالتهاب التأمور الحاد؟

References

DOI: 10.1093/eurheartj/ehaf192

• An important non-pharmacological concept is the restriction of physical activity beyond sedentary activities until symptom resolution and clinical remission with normalization of inflammatory markers.
• The mainstay of medical therapy is empirical anti-inflammatory therapy using aspirin or NSAIDs at full anti-inflammatory doses with appropriate time intervals of administration (usually every 8 h) plus colchicine to reduce the risk of recurrences.
• Gastroprotection with a proton pump inhibitor is recommended using NSAIDs.
• Clinical remission is defined as full regression of symptoms, as well as normalization of laboratory results (e.g. C-reactive protein, troponin levels) and investigations (ECG, evidence of PEff, CMR evidence of active inflammation).