00:01
What we’re trying accomplish here is to differentiate
the pericardium from rest of the heart.
00:08
We spend quite a bit of time with endocarditis
specifically in the ram of valvular heart disease.
00:14
Will looked at myocarditis. And we started categorizing it
into a restrictive, inter-hypertrophic and dilated.
00:21
Remember, dilated cardiomyopathy and
hypertrophic cardiomyopathy
will be quite common in developed countries. If its restrictive
cardiomyopathy quite rare in developed countries.
00:31
In developing countries, a little bit more common.
And by that, we mean subcontinent of Asia, Africa.
00:40
Pericardium, what is it?
Well, it’s the outer layer and there should be a
little bit of fluid in the pericardial cavity.
00:49
And a little bit of fluid within the pericardial
cavity then represents the prevention of friction.
00:56
Species of a heart is being incredibly pumped, has to be.
01:00
Well, our topic with pericarditis will be one in which
there’s information taking place of the pericardium,
as you would see here.
01:08
And what is your next step of management? Oh, it depends.
01:13
If you had, let’s say left ventricle rupture and you
suddenly filled up the pericardial sac with fluid,
and if it’s only just a little bit, a what you would
think at the time is being amazedly 200 milliliters.
01:25
But if rapidly gets in there, it might them cause
massive restriction, welcome to tamponade.
01:31
Or, if there was a leakage of fluid into pericardial cavity,
and it took time, and it got them to maybe even 1200.
01:41
Well, if you took time for the fluid to accumulate
in the pericardial cavity, it’s not of acute nature.
01:46
And so therefore, you will not call that
cardiac tamponade. The risk of death at that point,
thank goodness is decreased.
01:53
So is really at this point for you to walk
through the journey of pericarditis.
01:59
And how do you distinguish one from the other?
Acute pericarditis, as the name implies,
its suffix –itis, -itis, -itis.
02:08
Inflammation, inflammation, inflammation.
02:10
Where am I? The outside aspect of the heart.