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Correspondence
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Volume 352:1154-1155 March 17, 2005 Number 11
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Acute Pericarditis

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by Lange, R. A.
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To the Editor: In their review article on acute pericarditis, Lange and Hillis (Nov. 18 issue)1 estimate that in 9 of 10 patients with acute pericarditis, the cause of the disease is either idiopathic or viral. We suggest that this may change when the diagnostic strategy is different. The authors' estimates are based on two studies,2,3 and the noninvasive tests used in both were not exhaustive. Regardless of clinical suspicion, the patients with acute pericarditis whom we studied4 in Marseille, France, underwent a systematic battery of tests according to a predetermined protocol. This strategy resulted in the identification of specific . . . [Full Text of this Article]



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