What is Pericardial Effusion?

Pericardial Effusion
Chest computed tomography. a Chest computed tomography on the day before steroid therapy showed moderate bilateral pleural (arrows) and pericardial effusions (arrowhead). b Chest computed tomography after steroid therapy showed that the pleural effusion had decreased (arrows) and the pericardial effusion had disappeared. c Follow-up chest computed tomography on day 38 showed no pleural or pericardial effusions. Idiopathic remitting seronegative symmetrical synovitis with pitting edema syndrome associated with bilateral pleural and pericardial effusions: a case report. Yanamoto S, Fukae J, Fukiyama Y, Fujioka S, Ouma S, Tsuboi Y - Journal of medical case reports (2016). Not Altered. CC.

Pericardial effusion is an abnormal fluid accumulation in the pericardial space. 

What is the Pathology of Pericardial Effusion?

Pericardial effusion pathology is characterized by fluid buildup in the pericardial space that may be serious with fibrin strands, serosanguineous fluid, blood, pus, or chyle, that may eventually lead to cardiac tamponade. 

How does Pericardial Effusion Present?

Pericardial effusion presents as chest discomfort, light-headedness, palpitations, cough, dyspnea, hoarseness and hiccups.  

How is Pericardial Effusion Diagnosed?

Pericardial effusion diagnosis includes echocardiography and electrocardiogram.

How is Pericardial Effusion Treated?

Pericardial effusion treatment includes pericardiocentesis, pericardiostomy, and use of aspirin, colchicine, steroids, and antibiotics. 

What is the Prognosis of Pericardial Effusion?

Pericardial effusion prognosis is good, however poor prognosis is attributed to fever >38C, traumatic cause, unresponsive to NSAIDs, and in patients on anticoagulants.