The Four-Chamber Pump

Time To Read

1–2 minutes

Date Last Modified

15

CHART CLUE

Recurrent, sharp, breathing-linked chest pain that eases when Stina leans forward — with a scratchy friction rub and a small pericardial effusion on echo — is not anxiety and not a heart attack. It is pericarditis: FMF serositis reaching the lining around the heart, the same fire that inflames the abdomen (peritonitis) and the chest wall (pleuritis).

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A Sharp Pain That Leans Forward

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The Heart’s Wiring

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