The presumed goal of CMAJ’s Practice section is primarily education. In this regard, Kennedy and colleagues’1 article was informative with respect to pericarditis but not with respect to the management of a 28-year-old with chest pain.
Indeed, it is both discouraging and disappointing that no mention is made of acute aortic dissection; discouraging since the message about this common and lethal diagnosis seems not to be understood despite the efforts of the Canadian Medical Protective Association and disappointing since the article was apparently peer reviewed.