Key result
Echocardiography and NSAIDs with colchicine remain the mainstay of care for acute pediatric pericarditis.
Acute pediatric pericarditis requires prompt recognition and management, primarily with NSAIDs and potentially colchicine to prevent recurrence.
May support echocardiography and NSAID-colchicine therapy in acute pediatric pericarditis; leaves open need for dedicated pediatric RCTs.
Recognizing pericarditis in the emergency sitting is important, as it may be associated with life-threatening tamponade or myopericarditis. Typically children present with retrosternal chest pain and may appear ill. However in many instances the presentation is not typical and the management is delayed with serious consequences. Electrocardiogram may show typical signs of pericarditis and may suggest associated complications. Echocardiography is the modality of choice for its diagnosis and assessment. Suspected patientsshould be evaluated and managed by a pediatric cardiologist. The management may involve urgent pericardiocentesis or a surgically created pericardial window. Non-steroidal anti-infl ammatory drugs are the mainstay of medical treatment with some recent evidence supporting the value of using colchicine even in the first episode to prevent recurrence. Recurrence is an important and challenging concern requiring those children to have regular and careful follow up.
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Naif Alkhushi (2015) conducted a review in Acute Pediatric Pericarditis. Acute pediatric pericarditis requires prompt recognition and management, with echocardiography as the diagnostic modality of choice and NSAIDs with colchicine as the mainstay of medical treatment.
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