Pericarditis: Therapy

The long-term prognosis of acute pericarditis is favorable with sufficient medical therapy and physical rest.

General Measures

  • Review of permanent medication due topossible effect on existing disease.
  • Non-athletes:
    • Acute pericarditis: sports activities should be discontinued until clinical symptoms are no longer detectable and normalization of inflammatory parameters (eg, CRP), electrocardiogram (ECG; recording of electrical activity of the heart muscle), and echocardiography (echo; cardiac ultrasound) has occurred.
    • Recurrent pericarditis: sports activities should be discontinued until clinical symptoms are no longer detectable and normalization of inflammatory parameters has occurred. Pre-existing conditions and current clinical condition should be considered.
  • Athletes:
    • Acute pancreatitis: sports activities should be discontinued until clinical symptoms are no longer detectable and normalization of inflammatory parameters (eg, CRP), electrocardiogram, and echocardiography has occurred for at least 3 months.
    • Recurrent pericarditis: sports activities should be discontinued until clinical symptoms are no longer detectable and normalization of inflammatory parameters (eg, CRP), electrocardiogram, and echocardiography has occurred for at least 3 months. Pre-existing conditions and the current clinical condition should be taken into account.