Abstract
“Coronary” pericarditis represents a syndrome consisting of pericarditis, pleurisy, and pneumonitis, which develops secondary to arteriosclerotic heart disease. It can be readily diagnosed when it follows shortly after a well-defined myocardial infarction. However, when the acute coronary episode is mild or silent, and there is a lapse of many weeks between the coronary attack and the appearance of pericarditis, the causal relationship may be obscured and idiopathic pericarditis diagnosed. Five cases are reported to illustrate this point. The search for etiology in any given case of pericarditis should include among other causes “coronary” origin. Diagnostic considerations of this kind will result in the separation of cases hitherto assigned to idiopathic pericarditis and in the reduction of this undesirable group.
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