European Heart Journal Advance Access originally published online on July 18, 2006
European Heart Journal 2006 27(16):1898-1899; doi:10.1093/eurheartj/ehl156
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Aetiologic diagnosis of pericardial disease: worthy efforts may not be applied in the appropriate direction
Servei de Cardiologia, Hospital Universitari Vall d'Hebron, Passeig Vall d'Hebron, 119-129, 08035 Barcelona, Spain
* Corresponding author. Tel: +34 93 274 6070; fax: +34 93 274 6063. E-mail address: jsoler@vhebron.net
This editorial refers to Molecular analysis of pericardial fluid: a 7-year experience
by P.-Y. Levy et al., on page 1942
| The first 10% of the full text of this article appears below. |
The aetiologic diagnosis of pericardial disease has something of a paradox. On the one hand, the precise aetiology of many, perhaps most, instances of pericarditis remains an enigma in individual patients. Fortunately, for management purposes, such precise diagnosis is virtually irrelevant in most cases, as spontaneous cure is the rule in such patients; however, in a few patients, it may prove crucial. On the other hand, because of the poor specificity of many clinical findings, patients needing aetiologically guided intervention may remain unnoticed until too late.
Not rarely, when concomitant disease does not point at a likely aetiological association, the only means of assessing if pericardial disease is due to specific mechanisms requiring individual therapy is to examine the pericardial fluid or tissue. If often poorly acknowledged as such, the challenge
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- Molecular analysis of pericardial fluid: a 7-year experience
- Pierre-Yves Levy, Pierre-Edouard Fournier, Remy Charrel, Dominique Metras, Gilbert Habib, and Didier Raoult
EHJ 2006 27: 1942-1946.[Abstract] [FREE Full Text]
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