Causes of recurrent pericardial effusion

Written by Xie Zhi Hong
Cardiology
Updated on December 12, 2024
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Pericardial effusion is generally seen in inflammatory responses, such as nonspecific bacterial infections, as well as tuberculosis, chlamydia, mycoplasma, rheumatic heart disease, and it can also be caused by heart failure, uremia leading to pericardial effusion. Some are caused by tumors. In general, common nonspecific infections and tuberculosis can be quickly controlled with treatment, but in cases of tumors or due to various reasons such as hypoalbuminemia, heart failure, if the cause cannot be eliminated, pericardial effusion can frequently reoccur. Therefore, individuals with recurring pericardial effusion should go to the hospital for an examination to clarify the cause and rule out malignant tumors or other reasons, and receive timely treatment.

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Written by Li Hai Wen
Cardiology
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Is pericardial effusion hereditary?

Pericardial effusion is not hereditary. Pericardial effusion is not a genetic disease, and the causes of pericardial effusion are often acquired factors. For example, tuberculosis infection can cause tuberculous pericarditis, leading to pericardial effusion. Symptoms often include unexplained low-grade fever, cough, and night sweats, with a PPD test often showing a rigid change. Pericardial effusion caused by heart failure often presents with repeated exertional dyspnea, accompanied by limb edema. Cardiac ultrasound often reveals changes in the heart structure, such as cardiac enlargement and reduced cardiac pumping function. Additionally, hypoalbuminemia and tumors can also cause pericardial effusion, but these factors are not related to genetics.

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Written by Di Zhi Yong
Cardiology
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Why does pericardial effusion cause jugular vein distension?

Pericardial effusion can cause jugular venous distension because the main complication of pericardial effusion is the occurrence of heart failure. Once heart failure occurs, especially right heart failure, it can lead to jugular venous distension, which is also a manifestation of heart failure. If heart failure is corrected and treated in time, this jugular venous distension can also be alleviated. However, the treatment of pericardial effusion depends on the severity of the symptoms. If there is a small amount of pericardial effusion, temporary observation and medical treatment are mainly used. For large amounts of pericardial effusion, sometimes puncture drainage for examination or pathological examination may be needed.

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Written by Di Zhi Yong
Cardiology
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Does pericardial effusion hurt?

If a patient has pericardial effusion, they may experience pain in the precordial area, as well as symptoms of chest tightness, breathing difficulties, and palpitations. A small amount of pericardial effusion can be completely absorbed on its own; however, a large amount of pericardial effusion can sometimes lead to breathing difficulties. For treatment, a pericardiocentesis can be performed to examine the fluid, as this condition is very dangerous. In cases of pericardial effusion, I personally suggest undergoing a cardiac echocardiogram or a chest CT scan for a more definitive diagnosis. During this period, it is still important to actively monitor the patient's blood pressure, heart rate, and pulse changes. If there is a very high heart rate or other complications, active treatment should be pursued.

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Written by Di Zhi Yong
Cardiology
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Can pericardial effusion be aspirated?

Pericardial effusion can be treated with percutaneous fluid drainage, particularly in cases where there is a significant amount of fluid. However, for minor effusions, it is advisable that patients temporarily observe their condition and focus on symptomatic treatment. These small amounts of pericardial effusion can be absorbed naturally, and this typically pertains to milder cases. It is also recommended that patients regularly visit the hospital for echocardiography to monitor their condition. If the pericardial effusion does not fully resolve, fluid drainage may sometimes be necessary to alleviate the patient's current condition, as this fluid generally represents an inflammatory exudative change.

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Written by Di Zhi Yong
Cardiology
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What position should be adopted for difficulty in breathing due to pericardial effusion?

If a patient frequently experiences difficulty in breathing, it is recommended to immediately adopt a sitting position, as this can reduce the load on the heart, thereby alleviating expansion. Currently, for the purpose of treating breathing difficulties, conditions like pericardial effusion are very serious, and puncture aspiration for examination can be chosen as a treatment. For heart failure caused by pericardial effusion, sometimes it is necessary to use some cardiotonic diuretics, thus improving the patient's breathing difficulties. Currently, symptomatic treatment is primarily adopted in therapy, mainly adopting a semi-recumbent position or dangling both legs, which can reduce the heart's afterload, thereby easing the patient's condition.