Pericarditis after a heart attack usually responds to a short course of aspirin, or other anti-inflammatory drugs called NSAIDs. Stronger pain medications, such as the narcotic morphine, are given if needed. In severe or repeat cases, corticosteroid medications such as prednisone may be given.
Aspirin and NSAIDs may cause allergic reactions, stomach upset, or kidney damage. Narcotics can cause constipation, stomach upset, and allergic reactions. Corticosteroids can cause weight gain, depression, and other side effects.
Most episodes of pericarditis after a heart attack resolve by themselves and need no further treatment. The focus is usually on treating the underlying heart disease. In some cases, treatment may be needed in the future for repeated episodes of pericarditis.
If the symptoms go away, the only needed monitoring is for the underlying heart disease. Someone who has had a heart attack needs close monitoring and treatment to prevent a second heart attack. Any new or worsening symptoms should be reported to the healthcare provider.