علاج التهاب التامور مجهول السبب في التهاب التامور المتكرر بعد نوبة أولى من التهاب التامور الحاد

References

• One or more recurrences arise in 15% to 30% of patients after an initial episode of acute pericarditis.
• A first recurrence typically presents within 18 months, and findings are similar to the initial episode, including pleuritic chest pain, diffuse ST-segment elevations, a pericardial friction rub, and elevated serum markers of inflammation.
• In the absence of prospective trial evidence, aspirin or another NSAID should form the foundation of therapy for recurrences (Table).
• However, in contrast to the brief course of NSAID generally prescribed for an initial episode, a gradual tapering of the drug over 2 to 4 weeks after symptoms improve is recommended.
• For recurrent episodes of pericarditis, treatment with an NSAID plus colchicine is recommended, but for a more prolonged course.
• During NSAID treatment, concurrent gastric protection therapy should be considered.