Dennis L. Desilvey, MD
Desilvey DL. Calcific Constrictive Pericarditis. Ann Intern Med. 2000;133:748. doi: 10.7326/0003-4819-133-9-200011070-00027
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Published: Ann Intern Med. 2000;133(9):748.
TO THE EDITOR:
Ling and colleagues' article on calcific constrictive pericarditis (1) provided some interesting insights into the clinical spectrum of calcific pericarditis. I am concerned, however, that the article may reflect an unfortunate trend in contemporary medicine and medical education. Nowhere did the article mention the physical examination of constrictive pericarditis or whether examination was used to determine further diagnostic studies. The authors did not discuss the classic findings of a pericardial knock, the Kussmaul sign, and the steep Y decent on the jugular pulse. I trust that a physical examination was done for these patients, but it is important to recognize that the stethoscope still has a place in the diagnosis of most if not all cardiac conditions.
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