Can pericardial effusion cause fever?

Written by Di Zhi Yong
Cardiology
Updated on September 10, 2024
00:00
00:00

Pericardial effusion can sometimes cause fever. If the patient has a fever, it may indicate a poor prognosis and suggest the presence of an infection. In such cases, antibiotics should be used for treatment, along with measures to reduce the fever. If the effusion is caused by other diseases, it is still necessary to actively treat the underlying condition. Currently, for pericardial effusion, if the volume of the effusion is small, it can be absorbed by the body itself. However, if there is a large amount of effusion, the patient might experience symptoms like chest tightness, palpitations, and difficulty breathing. In such cases, it may be necessary to perform a puncture for fluid drainage and examination. If fever occurs during this period, indicating an infection, anti-inflammatory medications should be used for treatment. If necessary, corticosteroid medications might also be needed.

Other Voices

doctor image
home-news-image
Written by Di Zhi Yong
Cardiology
58sec home-news-image

What will happen if there is too much pericardial effusion?

If a patient has an excessive amount of pericardial effusion, symptoms such as palpitations, chest tightness, and difficulty breathing can occur. Currently, the treatment primarily focuses on symptomatic relief. If there is excessive pericardial effusion, symptoms such as chest tightness, palpitations, and difficulty breathing may occur. I personally suggest going to the hospital for a cardiac echocardiogram to further confirm the diagnosis and determine the treatment plan. For simple pericardial effusion, if the amount is relatively small, it can be temporarily observed without treatment. However, for cases with excessive pericardial effusion, it is necessary to perform a pericardiocentesis to remove the fluid and improve cardiac function. During this period, it is still necessary to actively monitor the patient's blood pressure, heart rate, and pulse changes, and address any rapid heart rate.

doctor image
home-news-image
Written by Di Zhi Yong
Cardiology
45sec home-news-image

Why does pericardial effusion reduce the pulse pressure difference?

Pericardial effusion can result in reduced pulse pressure differences between systolic and diastolic pressures. This occurs because pericardial effusion can compromise the heart's pumping function, leading to decreased myocardial contractility, which in turn may lead to excessive vascular pressure and a decrease in pulse pressure. This is a pathological change caused by pericardial effusion. Currently, in treatment, medication can be chosen to improve patient's cardiac function and thereby increase cardiac output. It is also important to actively treat the pericardial effusion, which may involve pericardiocentesis to drain the fluid and check pressures, as this can also alleviate reduced pulse pressure issues.

doctor image
home-news-image
Written by Li Hai Wen
Cardiology
50sec home-news-image

Can pericardial effusion cause chest pain?

Pericardial effusion can cause chest pain because patients with pericardial effusion have limited cardiac diastolic expansion, resulting in a restricted blood volume during the cardiac diastolic phase. This ultimately causes reduced cardiac pumping, leading to symptoms of ischemia and hypoxia, such as chest tightness or chest pain. Furthermore, as the amount of pericardial effusion decreases, for example from moderate or large volumes to a small amount, chest pain symptoms can also occur. This is because when the volume of pericardial effusion significantly reduces, there can often be friction between the visceral and parietal layers of the pericardium, thereby triggering chest pain. This condition is often accompanied by a pericardial friction rub, which can be felt by touching the precordial area.

doctor image
home-news-image
Written by Li Hai Wen
Cardiology
44sec home-news-image

Is pericardial effusion related to pneumonia?

Pericardial effusion is generally not closely related to pneumonia. The common causes of pericardial effusion mainly include tuberculous pericarditis, as well as factors such as tumors, heart failure, and hypoproteinemia. The onset of pulmonary inflammation primarily affects the lungs, with symptoms often manifesting as cough and yellowish sputum. Some patients may also experience pleural effusion. Pulmonary CT scans typically show inflammatory exudative changes. If the pericardial effusion is minor, it is usually not a significant issue, but proper medical examination is necessary to rule out causes like tuberculosis or tumors that could lead to pericardial effusion.

doctor image
home-news-image
Written by Di Zhi Yong
Cardiology
53sec home-news-image

What should I do if pericardial effusion prevents me from lying down?

If pericardial effusion occurs and the patient cannot lie flat, it indicates that this heart failure has not been timely corrected. The patient should immediately go to the hospital to use medications, especially cardiovascular and diuretic drugs, to improve cardiac function and alleviate the current condition of the patient. Generally, it is still recommended that patients primarily adopt a semi-recumbent position to reduce the load on the heart muscle, thereby improving symptoms. If the patient cannot lie flat, do not force it; a semi-recumbent position will suffice as it makes no significant difference. With aggressive internal medicine treatment, pericardial effusion can be alleviated, and the patient's symptoms will improve. However, during this period, it is still necessary to monitor changes in the patient's heart rate, blood pressure, and pulse, and to address any issues promptly.