Pericarditis

Pericarditis is swelling and irritation of the thin, saclike tissue surrounding your heart (pericardium). Pericarditis often causes sharp chest pain and sometimes other symptoms.

The sharp chest pain associated with pericarditis occurs when the irritated layers of the pericardium rub against each other. Pericarditis is usually mild and goes away on its own. Treatment for more-severe cases may include medications and, rarely, surgery.

Symptoms

  • Sharp, piercing chest pain over the center or left side of the chest
  • Shortness of breath when reclining
  • Heart palpitations
  • Low-grade fever
  • An overall sense of weakness, fatigue or feeling sick
  • Cough
  • Abdominal or leg swelling

Causes

  • Viral infection (most common cause)
  • Bacterial infection
  • Other infections (fungal or parasitic)
  • Heart attack or heart surgery
  • Autoimmune disorders such as lupus, rheumatoid arthritis or scleroderma
  • Kidney failure
  • Cancer
  • Certain medications
  • Trauma or injury to the chest

Treatment

Treatment depends on the cause and severity. Mild cases often improve on their own. Your doctor may recommend pain relievers and anti-inflammatory medications. In more severe cases, colchicine, corticosteroids, or other treatments may be used.