Acute Pericarditis Criteria + Course

Acute pericarditis diagnostic criteria (Adler 2015): at least TWO of four.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Pleuritic chest pain
Yes
ST elevation or PR depression
Yes
Course over time
Acute (new onset)

Result: Pericarditis criteria 2 of 4 - criteria met, acute (new onset).

The tool opens with these values already filled in. Replace them with your own.

What the result means

Supporting
Raised inflammatory markers, and inflammation on CT or cardiac MRI. These support the diagnosis but do NOT count toward the two.
Course
Acute at new onset; incessant past 4 to 6 weeks without clear remission; recurrent after a symptom-free interval of 4 to 6 weeks or more; chronic beyond 3 months.
Caution
Classified separately from the count. Meeting the criteria does not exclude a coronary syndrome, an aortic dissection or a pulmonary embolism.

What you enter

  • Pleuritic chest pain
  • Pericardial friction rub
  • ST elevation or PR depression
  • Pericardial effusion
  • Raised markers (supporting)
  • CT or MRI inflammation (supporting)
  • Course over time
How this is calculated
Criteria
At least TWO of: pleuritic chest pain better sitting forward; friction rub; new widespread ST elevation or PR depression; new or worsening effusion.

Adler Y, Charron P, Imazio M, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases. Eur Heart J. 2015;36(42):2921-2964. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

Browse all tools

Built by Clay Good. Source on GitHub.