sofidexFor patientsAre you a clinician? Clinical site

Warning-sign checks

Pericarditis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for new, severe, or unexplained chest pain.

    It is not possible to reliably distinguish pericarditis from a heart attack or another emergency based on symptoms alone.

    Call emergency services if chest pain occurs with:

    • Severe or rapidly worsening breathlessness
    • Fainting, collapse, confusion, or marked weakness
    • Cold, clammy, pale, or bluish skin
    • Heavy chest pressure, sweating, or nausea
    • A very fast or irregular heartbeat with dizziness
    • Coughing up blood
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Get urgent medical advice if diagnosed symptoms are worsening, a fever persists, you cannot lie flat because of breathlessness, or swelling develops in your legs or abdomen.

    Prompt review is also appropriate if chest pain returns during treatment.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up is important even when you feel better.

    It may include checking symptoms, inflammatory blood tests, medicine side effects, and whether it is safe to increase physical activity.

Every sign above is quoted from the sofidex article on Pericarditis. If you are not sure, err upward — it is always reasonable to be checked.