Question 991
{"accessible":false,"alternatives":[{"id":4961,"text":"aortic stenosis"},{"id":4962,"text":"coronary artery disease"},{"id":4963,"text":"myocardial fibrosis"},{"id":4964,"text":"myocarditis"},{"id":4965,"text":"pericarditis"}],"archived":false,"correctAlternativeId":4965,"explanation":"\u003cp\u003e\u003ca title=\"Radiation-induced heart disease\" class=\"internal\" href=\"/articles/radiation-induced-heart-disease\"\u003eRadiation-induced heart disease\u003c/a\u003e, also known as\u0026nbsp;radiation cardiotoxicity, describes an uncommon constellation of potential cardiac complications of mediastinal radiotherapy (e.g. for \u003ca title=\"Mediastinal lymphoma\" class=\"internal\" href=\"/articles/mediastinal-lymphoma\"\u003emediastinal lymphoma\u003c/a\u003e, \u003ca title=\"Thymoma\" class=\"internal\" href=\"/articles/thymic-epithelial-tumours\"\u003ethymoma\u003c/a\u003e, or left-sided \u003ca title=\"Lung cancer\" class=\"internal\" href=\"/articles/lung-cancer-3\"\u003elung\u003c/a\u003e or \u003ca title=\"Breast cancer\" class=\"internal\" href=\"/articles/breast-neoplasms\"\u003ebreast cancer\u003c/a\u003e). The most common manifestation is \u003ca title=\"Pericarditis\" class=\"internal\" href=\"/articles/pericarditis\"\u003epericarditis\u003c/a\u003e, which is usually delayed in presentation (years after treatment) and can be recurrent and can progress to \u003ca title=\"Constrictive pericarditis\" class=\"internal\" href=\"/articles/constrictive-pericarditis\"\u003econstrictive pericarditis\u003c/a\u003e.\u003c/p\u003e\u003cp\u003e\u003ca title=\"Coronary artery disease\" class=\"internal\" href=\"/articles/coronary-artery-disease\"\u003eCoronary artery disease\u003c/a\u003e is another important manifestation, and is thought to be the main cause of mortality from radiation-induced heart disease. \u003ca title=\"Aortic stenosis\" class=\"internal\" href=\"/articles/aortic-valve-stenosis\"\u003eAortic stenosis\u003c/a\u003e is the most common \u003ca title=\"valvulopathy\" class=\"internal\" href=\"/articles/valvulopathy\"\u003evalvulopathy\u003c/a\u003e resulting from mediastinal radiotherapy, while mycoardial fibrosis is generally a subclinical restrictive cardiomyopathy, and \u003ca title=\"Myocarditis\" class=\"internal\" href=\"/articles/myocarditis\"\u003emyocarditis\u003c/a\u003e very uncommonly occurs within weeks of treatment.\u003c/p\u003e","id":991,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/991","nextQuestionPath":"/articles/aortic-valve-stenosis/questions/982","relatedArticles":[{"id":8008,"title":"Pericarditis","link":"/articles/pericarditis?lang=us"},{"id":31898,"title":"Myocarditis","link":"/articles/myocarditis?lang=us"},{"id":1169,"title":"Constrictive pericarditis","link":"/articles/constrictive-pericarditis?lang=us"},{"id":43406,"title":"Coronary artery disease","link":"/articles/coronary-artery-disease?lang=us"},{"id":1335,"title":"Fibrinous pericarditis","link":"/articles/fibrinous-pericarditis?lang=us"},{"id":57485,"title":"Radiation-induced heart disease","link":"/articles/radiation-induced-heart-disease?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eWhich of the following is the most common manifestation of radiation-induced heart disease?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/991"}],"attemptsPercentages":[{"alternativeId":"4965","percentage":46},{"alternativeId":"4962","percentage":9},{"alternativeId":"4964","percentage":12},{"alternativeId":"4963","percentage":27},{"alternativeId":"4961","percentage":6}],"promptToLogin":false,"questionManager":false,"articleId":"aortic-valve-stenosis"}