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Previous Volume 351:2195-2202 November 18, 2004 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 35-year-old woman who is otherwise healthy has had constant retrosternal chest pain for two days. The pain becomes worse when she lies down and improves when she sits up and leans forward. On physical examination, the patient is afebrile and has a friction rub. The 12-lead electrocardiogram shows widespread ST-segment elevation and concomitant PR-segment depression. How should the patient be evaluated . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Causes

Evaluation

            History

            Physical Examination

            Electrocardiography

            Chest Radiography

            Serologic and Other Testing

            Echocardiography

            Pericardiocentesis and Biopsy

Treatment

Hospitalization

Guidelines

Areas of Uncertainty

Conclusions and Recommendations

Source Information

From the Department of Internal Medicine, Cardiology Division, Johns Hopkins Medical Institutions, Baltimore (R.A.L.); and the University of Texas Southwestern Medical Center, Dallas (L.D.H.).

Address reprint requests to Dr. Hillis at Rm. G5.232, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9030, or at dhilli@parknet.pmh.org.

Related Letters:

Acute Pericarditis
Levy P.-Y., Khan M., Raoult D., MacAlpin R., Mumoli N., Mancini A., Cei M., Lange R. A., Hillis L. D.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:1154-1155, Mar 17, 2005. Correspondence

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