In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.
Did you know that your browser is out of date? To get the best experience using our website we recommend that you upgrade to a newer version. Learn more.
ESC Pocket Guidelines App

Get all the latest ESC Pocket Guidelines, plus interactive tools (algorithms, calculators, charts, scores...) in your pocket.

Guidelines into Practice
Pericardial Diseases

Pericardial Diseases (Guidelines on the Diagnosis and Management of)

ESC Clinical Practice Guidelines

Invasive Imaging and Functional Assessment
Pericardial Disease
Cardiovascular Pharmacotherapy
Guidelines version available to download
Published in 2015
Reference doi/10.1093/eurheartj/ehv318
Published in 2015
Reference doi:10.1093/eurheartj/ehv318
Published in 2015
Reference 36 CME Questions
Published in 2015
Reference Key Messages and Gaps in Evidence
Published in 2015
Reference Abridged version on Pericardial Diseases
Published in 2015
Reference  Pericardial Diseases Slide-set
Published in 2015
Reference Download the ESC Pocket Guidelines App
Table of contents: Full Text (ESC Clinical Practice Guidelines)

1. Introduction
1.1 What is new in pericardial diseases?
2. Epidemiology, aetiology and classification of pericardial diseases
2.1 Epidemiology
2.2 Aetiology
3. Pericardial syndromes
3.1 Acute pericarditis
3.1.1 Clinical management and therapy
3.1.2 Prognosis
3.2 Incessant and chronic pericarditis
3.3 Recurrent pericarditis
3.3.1 Therapy
3.3.2 Prognosis
3.4 Pericarditis associated with myocardial involvement (myopericarditis)
3.4.1 Definition and diagnosis
3.4.2 Management
3.4.3 Prognosis
3.5 Pericardial effusion
3.5.1 Clinical presentation and diagnosis
3.5.2 Triage and management
3.5.3 Therapy
3.5.4 Prognosis and follow-up
3.6 Cardiac tamponade
3.7 Constrictive pericarditis
3.7.1 Clinical presentation
3.7.2 Diagnosis
3.7.3 Therapy
3.7.4 Specific forms Transient constrictive pericarditis Effusive-constrictive pericarditis Chronic constrictive pericarditis
4. Multimodality cardiovascular imaging and diagnostic work-up
4.1 Multimodality imaging
4.1.1 Chest X-ray
4.1.2 Echocardiography
4.1.6 Cardiac catheterization
4.1.7 Multimodality imaging
4.2 Proposal for a general diagnostic workup
5. Specific aetiologies of pericardial syndromes
5.1 Viral pericarditis
5.1.2 Definition and clinical spectrum
5.1.3 Pathogenesis
5.1.4 Diagnosis
5.1.5 Identification of viral nucleic acids
5.1.6 Therapy
5.2 Bacterial pericarditis
5.2.1 Tuberculous pericarditis Diagnosis Management
5.2.2 Purulent pericarditis Epidemiology Diagnosis Management
5.3 Pericarditis in renal failure
5.4 Pericardial involvement in systemic autoimmune and
autoinflammatory diseases
5.5 Post-cardiac injury syndromes
5.5.1 Definition and diagnosis
5.5.2 Management
5.5.3 Prevention
5.5.4 Prognosis Post-myocardial infarction pericarditis Postoperative effusions
5.6 Traumatic pericardial effusion and haemopericardium
5.7 Pericardial involvement in neoplastic disease
5.8 Other forms of pericardial disease
5.8.1 Radiation pericarditis
5.8.2 Chylopericardium
5.8.3 Drug-related pericarditis and pericardial effusion
5.8.4 Pericardial effusion in metabolic and endocrine disorders
5.8.5 Pericardial involvement in pulmonary arterial hypertension
5.8.6 Pericardial cysts
6. Age and gender issues in pericardial diseases
6.1 Paediatric setting
6.2 Pregnancy, lactation and reproductive issues
6.3 The elderly
7. Interventional techniques and surgery
7.1 Pericardiocentesis and pericardial drainage
7.2 Pericardioscopy
7.3 Pericardial fluid analysis, pericardial and epicardial biopsy
7.4 Intrapericardial treatment
7.5 Pericardial access for electrophysiology
7.6 Surgery for pericardial diseases
7.6.1 Pericardial window
7.6.2 Pericardiectomy
8. Perspective and unmet needs
9. To do and not to do messages from the pericardium guidelines
10 Web addenda

Previous version available to download
Published in 2004
Reference PERICA
Published in 2004
Reference EHJ 2004;25:587-610