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In general, risk factors for stroke and some forms of heart disease are similar. Strokes due to blocks in blood vessels, can be seen along with blocks in blood vessels of the heart. Stroke can occur after a heartattack as well. Heartattack damages a part of the heart muscle.
Pericarditis can occur after a heartattack due to damage following a loss of blood supply. But a large pericardial effusion is uncommon in rheumatic fever, where the involvement is mainly of the heartvalves. Infections of the heartvalves can also spread to the pericardium and cause pericardial effusion.
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General Cardiology 
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