Steroid-Dependence Risk Score (Chronic or Recurrent Pericarditis)

Age (years)

Female Sex?

Number of prior recurrences (>3?)

Autoimmune Etiology?

Heart rate (beats/min)

Late gadolinium enhancement on CMR (moderate or severe?)

LVEF > 60%?

Currently using colchicine?

Steroid-dependence (yes?)

Use of DMARD (disease-modifying antirheumatic drug)?

Steroid-Dependence Risk Score for (Recurrent) Pericarditis: Explanation and Clinical Context
This scoring tool is derived from a prognostic model of patients with recurrent pericarditis that included steroid-dependence among its key variables (age, sex, number of recurrences, etiology, heart rate, pericardial imaging, LVEF, colchicine use, steroid use, DMARD use). The intention is to stratify patients by risk of poor outcome (e.g., non-remission or further recurrences), in whom early targeted therapy may be warranted. The model should not be used as a sole decision-making tool but rather as an adjunct for risk-stratification in the context of specialist care of chronic/recurrent pericarditis.

Reference:
Wang et al. A Novel Risk Stratification Model in Recurrent Pericarditis: Predicting Clinical Remission. Consult QD (Cleveland Clinic) summary of Yesilyaprak A et al., “Predicting Long-Term Clinical Outcomes of Patients with Recurrent Pericarditis” (2024).

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