Overview
Pericarditis usually follows a virus. Pain is often sharp and worse with deep breaths or lying flat.
The sac around the heart gets inflamed.
Chest pain is often better sitting up.
Symptoms
Common signs:
- Sharp chest pain, better sitting forward
Less common
- Fever
- Pain with deep breaths
Look up a symptom: Fever · Getting winded easily with activity or stairs · Racing or pounding heartbeat
When to get medical care
Causes
Virus.
Does it spread or run in families?
- It isn't contagious. You can't catch it from someone else.
Diagnosis
ECG and echo.
Treatment
Rest.
Self-care
- Rest and avoid hard exercise until cleared
- Avoid hard exercise
Medicines
Medicines that may help:
| Medicine | Helps with | Good to know |
|---|---|---|
| NSAIDs | Pain | |
| Colchicine | Preventing return |
OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.
Prevention
To lower your risk or prevent problems:
- Treat infections
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to a cardiologist (heart doctor).
Living with it
Support groups and helplines
- American Heart Association: Plain-language heart information and a support network for patients.
Children, pregnancy, and older adults
- Men 20 to 50: Most common.
Pregnancy and breastfeeding
- If you're pregnant or planning to be, tell your prenatal provider about this condition.
- This condition needs closer checkups during pregnancy. Plan ahead with your doctor.
- Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
- Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
- Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.
Outlook
Most recover.
Getting ready for your visit
Bring a list of your symptoms and medicines.
What to bring
- A list of your medicines and supplements
- Notes on when symptoms started and what makes them better or worse
Questions to ask
- How long will I need colchicine?
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Search ClinicalTrials.gov for studies on Pericarditis (inflamed sac around the heart)
Sources
Last updated 2026-11-12.