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Relation of Acute Pericardial Disease to Malignancy
Ist Teil von
The American journal of cardiology, 2005-06, Vol.95 (11), p.1393-1394
Ort / Verlag
New York, NY: Elsevier Inc
Erscheinungsjahr
2005
Quelle
MEDLINE
Beschreibungen/Notizen
Neoplastic etiology was found in 33 of 450 patients with acute pericardial disease (7.3%). Acute pericardial disease was the first manifestation of previously unknown malignancies in 18 of 450 patients (4.0%), and lung cancer was the most common malignancy (72.2%, p = 0.02). The following clinical characteristics were associated with a greater probability of a neoplastic etiology: a history of malignancy (odds ratio [OR] 19.8), cardiac tamponade at presentation (OR 7.0), a lack of response to nonsteroidal anti-inflammatory drugs, and recurrent or incessant pericarditis (OR 10.0). A similar prognosis was found in patients with or without a history of known cancer.