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Can mild pericarditis be easily missed with ekg and echo?

About a month ago I went to a cardiologist as I’d had some minor chest pain on my left side. Occasionally sharp. Other times achey. But mostly brief. Occasionally long if it was the achey kind. No shortness of breath. No chest tightness.  No issues during exercise.  Some soreness on my back like under my left shoulder blade. It’s definitely not GERD or muscle related.

So cardiologist did ekg then stress test. All looked good. No restrictions on exercise.

After that the discomfort didn’t disappear. And it’s never been constant. I took two weeks off of exercise. It seems to be better but not quite 100%.

Is it possible it’s just mild pericarditis that was missed during my diagnostic tests? Is it worth going back to review with him more? I assume he’d just put me on Advil anyway.
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973741 tn?1342342773
I think that it is better is a good sign.  I'm glad you went to the doctor about it previously.  It's my understanding that pericarditis is typically mild in general.  It's good you had an EKG which is one of the diagnostic tests that detect it.  Even when mild. But, of course, tests are not infallible. There are other tests they sometimes do such as X rays, echocardiogram, MRI, etc.  However, most of the time, pericdarditis goes away on its own or as you said, treated successfully to reduce the inflammation with things like advil.  There are other 'big gun' meds they use to reduce inflammation in the body such as Mitigare. They can do more invasive things for more serious situations.  But I think you are on the right track with your thinking. It starts to get worse again, I'd go back to your doctor. https://www.mayoclinic.org/diseases-conditions/pericarditis/diagnosis-treatment/drc-20352514
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