A 58-year-old woman presents to the hospital reporting fatigue, swelling of the legs and feet, and shortness of breath. She explains that her symptoms have been getting worse over the past 2 months.

In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information by sharing relevant background and reasoning ...

The clinical diagnosis of acute pericarditis is based on simple criteria: typical chest pain, pericardial friction rub (Figure 2), widespread ST-segment elevation (Figure 3) and pericardial effusion ...

Constrictive pericarditis is a rare disorder that occurs when the thin sac that surrounds and protects the heart becomes stiff and thick, limiting the heart’s ability to pump blood. Symptoms may ...

Tuberculosis (TB) typically affects the lungs but can affect other body areas. If Mycobacterium tuberculosis — the bacteria that causes TB —infects the heart’s pericardium, it can lead to a condition ...

A 28-year-old man who is new to your list, and whose records have not yet arrived, presents in your emergency surgery with a two-day history of substernal chest pain. He describes this as sharp and ...

The most common symptom of pericarditis is chest pain, and this is something with which most patients present themselves at a clinic. Diagnosis and confirmation of pericarditis happens in a series of ...

We have read with great interest the article of Kunitoh et al, 2009 published recently on this Journal, about the use of intrapericardial Bleomycin in malignant pericardial effusion (MPE) with lung ...