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April 6, 1935


JAMA. 1935;104(14):1212-1214. doi:10.1001/jama.1935.02760140016006

Within a short period of six months two cases of pericardial effusion following coronary artery occlusion have been observed. It is thought that this condition may be diagnosed clinically and that it is one which will be found more frequently.

The reported incidence is indeed small. In a review of the etiology of 360 cases of pericarditis, Gerke1 did not mention coronary artery occlusion. In Levine's monograph2 on coronary thrombosis a pericardial effusion was encountered in only one patient in a series of 145. This effusion was not suspected during life, but 1,000 cc. of pericardial fluid was found at postmortem examination. White3 in his book on heart disease did not cite coronary artery thrombosis as a cause of pericarditis with effusion. However, in 1932 Camp and White4 reported their observations in 126 cases of pericardial effusion; and in two cases in which death occurred with

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