© 2004 by BMJ Publishing Group & British Cardiac Society
MINI-SYMPOSIUM
Pericardial disease: introduction
Servicio de Cardiologia, Hospital General Universitari, Vall dHebron, Barcelona, Spain; jsoler@vhebron.net
Keywords: pericardial disease
| The first 150 words of the full text of this article appear below. |
This mini-symposium is devoted to the so-called "cinderella of heart disease"pericardial disease. The management of thise disease, contrary to most cardiac diseases, has scarcely been influenced by recent advances in technology. In many cases the aetiology of pericardial disease is apparently due to the presence of a concomitant disease; however, in patients without an apparent cause the aetiology remains elusive, being idiopathic (in most cases probably being viral in origin) in more than 90% of cases. Our point of view is that "old" clinical management (history, physical examination, and routine laboratory tests), with a judicious indication of invasive procedures, is the appropriate approach for most patients.
Gaietà Permanyer-Miralda, from Barcelona, comments on the general approach to acute pericardial disease. His point of view is based on a large experience of systematic management of acute pericardial disease for the last 25 years, at the same institution. He also discusses the impact
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