Pericarditis

17 June 2025

Overview

Pericarditis is a condition that involves inflammation of the pericardium — the thin, fluid-filled sac surrounding the heart. This inflammation can cause chest pain and other symptoms, often mimicking those of a heart attack, which is why accurate diagnosis is essential.

At the Royal Buckinghamshire Hospital, we provide expert assessment and treatment for all forms of pericarditis, from acute cases to recurrent or chronic presentations.

Common Symptoms of Pericarditis

Symptoms of bradycardia vary depending on how well the heart is able to pump blood throughout the body. Some people Symptoms can vary depending on the severity and cause of the inflammation, but may include:

Sharp or stabbing chest pain, often behind the breastbone
Pain that worsens with deep breathing, coughing, or lying down
Relief when sitting up or leaning forward
Fever
Fatigue or general weakness
Shortness of breath, especially when reclining
Heart palpitations (irregular or rapid heartbeat)

In more severe cases, pericarditis can lead to pericardial effusion (excess fluid in the sac) or cardiac tamponade, a potentially life-threatening complication.

Types of Pericarditis

Acute pericarditis – sudden onset, typically lasting less than 6 weeks
Recurrent pericarditis – symptoms return after a symptom-free period
Chronic pericarditis – inflammation lasting longer than 3 months
Constrictive pericarditis – long-term scarring and thickening of the pericardium affecting heart function

Causes of Pericarditis

Pericarditis can develop for a variety of reasons, including:

Viral infections (the most common cause)
Bacterial or fungal infections (less common)
Autoimmune diseases such as lupus or rheumatoid arthritis
Following heart surgery or a heart attack
Chest trauma
Certain cancers or treatments like radiation therapy
Kidney failure (uraemic pericarditis)
Side effects of certain medications

Diagnosis at Royal Buckinghamshire Hospital

We offer a full range of diagnostic investigations for pericarditis, including:

Electrocardiogram (ECG) – to detect electrical abnormalities
Echocardiogram – to visualise pericardial fluid and heart function
Cardiac MRI – detailed imaging to assess inflammation
Chest X-ray
Blood tests – to check for signs of infection or inflammation

Our cardiologists work closely with radiology and laboratory teams to ensure a timely and accurate diagnosis.

Treatment Options

Most cases of pericarditis are treated successfully with medication and rest. Depending on the underlying cause, treatment may include:

Anti-inflammatory medication (e.g. ibuprofen or colchicine)
Antibiotics for bacterial infections
Steroids in autoimmune-related cases
Drainage procedures for large pericardial effusions
Surgery (pericardiectomy) for constrictive or recurrent cases

Our multidisciplinary team ensures each patient receives an individualised treatment plan focused on fast recovery and long-term heart health.

Why Choose Royal Buckinghamshire Hospital?

We combine clinical excellence with personalised care. Our experienced consultants and state-of-the-art diagnostics allow us to manage pericarditis with precision, compassion, and efficiency — all within a modern, patient-centred environment.

Arranging To Visit A Private GP

If you are experiencing any signs or symptoms, schedule an appointment with Royal Buckinghamshire Hospital for expert evaluation and treatment.. Make an appointment with one of our private GPs who can refer you to our specialist cardiologists. Appointments are available to everyone and can often be booked for the same day. There is no need to be registered with our The Royal Buckinghamshire Hospital, or live locally.

If you have insurance which covers a GP visit, we can in most cases invoice the insurer directly. Where you are paying directly, the cost for a 30 minute consultation is £100.

Any additional costs will always be discussed.

Our Resident Private GP

Dr Chamali is welcoming and highly experienced. He offers his patients sound diagnosis and treatment, along with individual care focused on their future health.