R. Bruce Logue; Dean R. Taylor; Locke Y. Carter
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Although steroids are widely used in the control of pain, fever, and systemic symptoms due to pericarditis, then usefulness as a diagnostic and therapeutic agent in pericarditis with effusion has not been emphasized. Steroids alone may result in resolution of pericardial effusion, and when combined with diuretics, the effect may be enhanced. The combination of steroids with diuretics is useful  in the recognition of pericardial effusion,  in prevention and management of pericardial tamponade,  in differentiation of pericardial effusion from myocarditis and diffuse myocardial disease,  to prevent the need for pericardiocentesis or open drainage of the pericardium,
Logue RB, Taylor DR, Carter LY. Diagnosis and Treatment of Pericardial Effusion Without Pericardiocentesis: Use of Steroids and Diuretics.. Ann Intern Med. ;68:1158. doi: 10.7326/0003-4819-68-5-1158_1
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Published: Ann Intern Med. 1968;68(5):1158.
Cardiology, Pericardial Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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