Abstract
In this review we discuss the background of acute pericarditis, symptoms and treatment are emphasized in order to properly manage this condition. Differentiation diagnosis play important role in case of suspension and elimination the other disease. We conducted a Comprehensive search through electronic databases; Medline, Embase, and Scopus for published articles concerning the acute pericarditis diagnosis, and management in primary care up to January, 2019, using the following search terms: acute pericarditis, primary care, family physicians, diagnosis. Acute pericarditis is inflammation of the pericardium. Acute pericarditis has a number of possible etiologies including infection, acute myocardial infarction, medication usage, trauma to the thoracic dental caries, and systemic ailments, such as rheumatoid arthritis. Nevertheless, most etiologic assessments are inconclusive. Patients with acute pericarditis generally existing with acute, sharp, retrosternal breast discomfort that is relieved by sitting or leaning ahead. A pericardial friction rub is discovered in approximately 85% of patients. Family doctor should be able to differentiate acute pericarditis from other disease, in case patient suspension proper diagnosis with EKG should be done. Classic electrocardiographic modifications include widespread concave upwards ST-segment elevation without reciprocal T-wave inversions or Q waves.