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BackgroundAcute pericarditis represents an inflammatory disease affecting the pericardial layers. Case presentationWe reported a case of a patient with acute pericarditis that occurred a few hours after chest radiation therapy, performed for breast cancer.
Pericarditis refers to inflammation of the pericardium The pericardium is a sac within which the heart sits. Acute inflammation of this sac is known as acute pericarditis. About 5% of patients who present to A+E with chest pain which is not deemed to be a heart attack or angina are ultimately diagnosed with pericarditis.
This occurs most commonly in cancer (malignant pericardial effusion). Usually it is cancer of other organs spreading to the pericardium (secondary) rather than primary cancer of the pericardium which is very rare (mesothelioma). This may include medications, radiation, and surgery, depending on the type of cancer.
A middle-aged patient with lung cancer had presented to clinic complaining of generalized malaise, cough, and chest pain. Symptoms other than chest pain (malaise, cough in a cancer patient) 2. PR depression, which suggests pericarditis 4. ECG findings of constrictive pericarditis are generally not overly helpful clinically.
Written by Destiny Folk MD, with edits by Meyers, peer reviewed by Smith and Grauer A woman in her late 20s with a past medical history of cervical cancer status post chemotherapy and radiation therapy presented to the emergency department for shortness of breath, chest tightness, and two episodes of syncope. As per Drs.
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