Again, I am glad to read you know yourself well and you are going to continue to advocate for yourself. If you have been reading up on Pericarditis you know there is acute and chronic Pericarditis. Pericarditis can progress to more serious conditions, including chronic forms of pericarditis and the most serious complication of pericarditis, cardiac tamponade.
Chronic pericarditis is a long-lasting inflammation resulting in either gradual fluid accumulation (effusive pericarditis) or slow thickening of the pericardium into scar-like tissue (constrictive pericarditis).
I know you most likely know this but as a gentle reminder be sure your new Cardiologist performs a complete medical history and physical examination, and orders blood tests to make sure the kidneys are working properly, to assess for immune disorder, and to detect certain infections.
Your doctor will review your medical history, especially any history of recent infections, heart attack, chest trauma, chest surgery, and chronic diseases. Your doctor will also ask you to describe specific details about
your chest pain, including its
location, what triggers it (e.g., cough, swallowing, deep breath), how long it lasts, and what relieves it.
Your doctor will also listen through a stethoscope for scratchy sounds called a pericardial rub, which are produced by heart muscle rubbing against the inflamed pericardium. Blood tests will look for increased numbers of white blood cells and other substances that would suggest the presence of infection and inflammation in the body.
Your doctor may recommend that you have an electrocardiogram (ECG), a test that monitors the electrical activity of the heart. Characteristic changes of electrical activity occur with pericarditis, and an ECG will detect these changes. The ECG can also help to rule out pericarditis by suggesting other causes of chest pain, such as a recent or past heart attack.
I would suggest you ask your Dr. for a 2D-echocardiogram for a detailed view of your heart. An echocardiogram is a painless scan that uses sound waves to image structures in and around the heart. An echocardiogram easily detects accumulated fluid in the pericardial sac, which typically accompanies pericarditis.
Other tests that may help your doctor diagnose pericarditis include a CT scan, an MRI scan, a chest x-ray, pericardiocentesis, and pericardial biopsy. Reference - PDR
I am a ER/ICU nurse - retired now - but have 35 years experience so I know there are times we are tough patients. I only do what I did for my patients when it comes to myself - advocate.
Keep us posted. Also remember we are not medical professionals here in the forum - we are peers so never take the information you read here in place of your physicians.
and Heart/Cardiovascular Disease. "She Stood in the Storm & When the Wind Did Not Blow Her Away, She Adjusted Her Sails."