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Showing posts with the label prognosis

Uncertainty

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My pericarditis broke through yesterday, to use my cardiologist’s term. I noticed the subtle but unmistakable chest pain on inhalation, and didn’t need to see a doctor or even have my vitals checked to know what was going on. Pericarditis is inflammation of the pericardium, or sac around the heart. In its moderate form, it causes pain on inhalation; in its more severe form it can cause tamponade. This is when the pericardium is rigid or inflamed enough that it squeezes the heart, restricting the heart’s ability to pump. Consequently, blood pressure falls, and heart rate rises as the heart tries to compensate for reduced efficiency by pumping faster. I first contracted pericarditis in February, when it landed me in the hospital for two extended-stay-deluxe visits. This is my fourth recurrence. I have become so familiar with the symptoms I can almost guess my blood pressure and heart rate. So I’m starting the cycle over with high-dose steroids to beat back the symptoms, and t