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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pericarditis

I was diagnosed w/ pericarditis in Dec, went on two rounds of steriods.. tried to return to work for a coupl weeks and it's back I am just finishing my 3rd round of steriods. what else is there to do? Dr, said not enough fluid to drain. I have Dialated cardiomyopothy and Left bundle brancch block. pacemaker implanted in 05' replaced in Sept last year. I am 41 female 240lbs.
Wed, 1 Mar 2017
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Cardiologist 's  Response
Hi Ma'am

There are two treatment options for PERICARDITIS.

1. Medical treatment that consists of NSAIDs, COLCHICINE , and/or STEROIDS.
2. Surgical treatment which is PERICARDIECTOMY (shaving of the inflammed pericardium)

As you are already started with 3rd round of steroids its better you first finish the 3rd round probably it will not revert back but if it does then the final curative treatment is PERICARDIECTOMY only. But due to the other assosiated problems you have like DCMP the surgery will carry a operative mortality risk of 5 to 20%. So i would like to advice you to discuss your options with your treating cardiologist in person.


Wish you Good Luck
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Suggest Treatment For Pericarditis

Hi Ma am There are two treatment options for PERICARDITIS. 1. Medical treatment that consists of NSAIDs, COLCHICINE , and/or STEROIDS. 2. Surgical treatment which is PERICARDIECTOMY (shaving of the inflammed pericardium) As you are already started with 3rd round of steroids its better you first finish the 3rd round probably it will not revert back but if it does then the final curative treatment is PERICARDIECTOMY only. But due to the other assosiated problems you have like DCMP the surgery will carry a operative mortality risk of 5 to 20%. So i would like to advice you to discuss your options with your treating cardiologist in person. Wish you Good Luck