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"idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Epicardial fat necrosis: A rare and benign cause of chest pain" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "113" "paginaFinal" => "114" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Joana Couto, Luís Pontes dos Santos, Edite Marques Mendes, Anabela Brito, Raquel López, Conceição Santos" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Joana" "apellidos" => "Couto" "email" => array:1 [ 0 => "joana.couto@ulsam.min-saude.pt" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Luís" "apellidos" => "Pontes dos Santos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span 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] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Thoracic computed tomography in April 2017, showing a reduction in the size of the paracardiac lesion (arrows).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Epicardial fat necrosis is a rare condition that should be considered in the differential diagnosis of chest pain. It is a benign self-limited disease of unknown etiology with a good prognosis. The presenting symptom is left-sided pleuritic chest pain and it appears in previously healthy individuals. Computed tomography (CT) or magnetic resonance imaging can confirm the diagnosis.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A healthy 50-year-old man was admitted to the emergency department for sudden intense pain located in the lower left anterior part of the chest, worsened by deep inspiration and with 10 hours of duration. The patient had had no similar episodes previously. He presented with tachypnea (29 cpm), tachycardia (heart rate 110 bpm) and diaphoresis. The electrocardiogram showed sinus tachycardia, without ischemic changes. Results of blood studies, arterial blood gas testing, cardiac markers, transthoracic echocardiogram and chest radiography were normal. Thoracic CT (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>) showed an ovoid encapsulated mediastinal (epipericardial) fatty lesion in the left cardiophrenic angle with a soft tissue rim and intrinsic and surrounding soft tissue stranding, without pleural effusion. During hospitalization, the patient remained stable under analgesic therapy and was discharged with medication for symptomatic relief (non-steroidal anti-inflammatory drugs). After two and five months, thoracic CT showed a reduction of the lesion (<a class="elsevierStyleCrossRefs" href="#fig0010">Figures 2 and 3</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Epicardial fat necrosis is an uncommon condition that should be considered in healthy patients presenting with chest pain. At admission, these patients can mimic emergent conditions, such as pulmonary embolism or acute coronary syndrome. Our goal is to raise the awareness of clinicians and radiologists for this condition.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-09-29" "fechaAceptado" => "2019-03-10" "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 481 "Ancho" => 1500 "Tamanyo" => 65008 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Thoracic computed tomography in February 2017 showing an ovoid encapsulated paracardiac fatty lesion in the left cardiophrenic angle with a soft tissue rim and intrinsic and surrounding soft tissue stranding (arrows), without pleural effusion.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 467 "Ancho" => 1500 "Tamanyo" => 65650 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Thoracic computed tomography in April 2017, showing a reduction in the size of the paracardiac lesion (arrows).</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 2078 "Ancho" => 3333 "Tamanyo" => 695915 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Thoracic computed tomography in July 2017, showing further reduction in the size of the paracardiac lesion (arrows).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003900000002/v1_202005210836/S2174204920301409/v1_202005210836/en/main.assets" "Apartado" => array:4 [ "identificador" => "9915" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003900000002/v1_202005210836/S2174204920301409/v1_202005210836/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204920301409?idApp=UINPBA00004E" ]
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