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Persistent J-ST elevation: a sign of persistent perimyocardial irritation
  1. Lovely Chhabra1,
  2. David H Spodick2
  1. 1Department of Cardiovascular Medicine, Hartford Hospital, University of Connecticut School of Medicine, Hartford, Connecticut, USA
  2. 2Department of Cardiovascular Medicine, Saint Vincent Hospital, University of Massachusetts Medical School, Worcester, Massachusetts, USA
  1. Correspondence to Dr Lovely Chhabra, 80 Seymour Street, Hartford, CT (06102), USA; lovids{at}

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Dear Editor: We greatly enjoyed reading the recently published case by Cudmore et al.1 The case emphasises the importance of keeping a broad differential and a low threshold for suspecting an ominous diagnosis viz. ‘secondary pericardial metastasis or encroachment’, especially with the history of a known systemic malignancy. Metastatic and infiltrative/invasive involvement of the pericardium may often be the initial …

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  • Contributors Both authors have contributed significantly to the writing of this manuscript.

  • Competing interests DHS receives royalties from his textbook, ‘The Pericardium: A Comprehensive Textbook (Fundamental and Clinical Cardiology), Marcel Dekker, New York 1997’.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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