The clinical manifestations of fibrinous pericarditis are actually like this

What are the clinical manifestations of fibrinous pericarditis? The answer to this question has always been what patients with fibrinous pericarditis want to know most. In fact, the clinical manifestations of fibrinous pericarditis are mainly reflected in symptoms and signs. Precordial pain is the main symptom of fibrinous pericarditis.

1. Symptoms: Precordial pain is the main symptom and also the first symptom that appears. Such as acute nonspecific pericarditis and infectious pericarditis; while the pain symptoms of slowly developing tuberculous or tumor pericarditis may not be obvious.

The degree and nature of precordial pain vary. In mild cases, it is only chest tightness, and in severe cases, it is sharp pain. It is related to respiratory movements and is often aggravated by coughing, deep breathing or changing body position. The pain is located in the precordial area and can radiate to the neck, left shoulder, left arm and left scapular area, and can also reach the upper abdomen. The pain can also be squeezing-like and located behind the sternum. Care should be taken to differentiate it from pain caused by myocardial infarction.

2. Signs: Pericardial friction sound is a specific sign of fibrinous pericarditis. It is produced by the friction between the parietal layer and the visceral layer, which become rough due to inflammation, when the heart is moving. The diagnosis of pericarditis can be made by hearing the pericardial friction sound in the precordial area.

The pericardial friction sound is a rough scratching sound, which has no correlation with the occurrence of heart sounds, often covers the heart sounds and is closer to the ear than heart sounds; typical friction sounds can be heard in three components consistent with atrial contraction, ventricular contraction and ventricular relaxation, but most medical examination websites are biphasic friction sounds consistent with ventricular contraction and diastole; it is located in the precordial area, most obvious between the 3rd and 4th ribs on the left side of the sternum; the friction sound increases when the body leans forward, takes a deep breath, or pressurizes the chest piece of the stethoscope. It may last for hours, days or weeks. When the effusion increases and separates the two layers of pericardium, the friction sound disappears, but it can still be heard if there is partial pericardial adhesion.