Doctor insights on:
Trace Pericardial Effusion
I had an echo what does this mean: right sided structures: mild tricuspid incompetence. And pericardial space: trace effusion. It says overall normal?
Ekg left atrial enlargement, nonspecific t wave abnormality, echo done trace mitral regurg, tricuspid regurg. Pericardial effusion global. Is my heart ok?
More info needed: I am assuming echo is showing pericardial effusion and global? Or maybe global hypohypokinesia? Any wall motion abnormalities? Ejection fraction? Do u have any symptoms? At rest or with activities? Any other risk factors? Smoker, overweight, dm, htn, high chol, family history heart attacks, sedentary life etc. Any prior heart attacks? Stress test done. Any recent viral infection? Pericarditis? ...Read more
Fluid around heart: Heart muscle is covered by very thin layer of tissue called epicardium. Further, surrounded by very thin partially distensible sac called pericardium. Space between epi- and peri- cardium always contains small amount of lubricating fluid. Epi or pericardium can become inflammed or fluid can leak into this space. When fluid accumulates and becomes detectable it is an "effusion.". ...Read more
NSAIDS: Most common cause of effusion is inflammation of epi or pericardium. The Best treatment is generally anti inflammatory agents. Could use steroids, but usual treatment is non steroidal agents typically Indomethacin although I believe any NSAID at equivalent dose is likely as effective. ...Read more
Pericardial effusion: The fluid is all around the heart (circumferential) as opposed to only at places (loculated). ...Read more
Overloading?: I do not quite understand what you mean by overloading? Did someone state that you have cardiac congestion? ...Read more
Not much: Both are insignificant amounts and can even be the same if the echoes were read by different cardiologists. Not to worry as most likely just a different choice of words. ...Read more
Unfortunate: You have my deepest sympathy. Do you have a question for us? ...Read more
Chest Pain: Pericardial effusion can be a problem if not monitored by your cardiologist... Chest pain, shortness of breath can happen. If so, this is a life threatening condition and needs to be treated immediately. Usually, pericardial effusions caused by viruses get better on their own. An enlarging effusion is worrisome and needs to be evaluated asap. Go see your doctor asap. ...Read more
Informed 22 yrs ago I have mild pericardial effusion. Hasn't changed since but no one seems concerned why I have it. So what could the reasons be?
Usually no: However, dependent on the time it took to collect the effusion, even a small effusion can be life-threatening. In other words, if the fluid collects over a short period, it can lead to a catastrophic event, but if it takes a long time, the heart copes with it for a while. The best way to tell what effect the fluid has, is to evaluate you with an echocardiogram. ...Read more
It depends on the: Cardiac compromise caused by the effusion. The more critical question is what is causing the effusion as 90% of the diagnoses causing effusion will make you tired. It's the other diagnosis not the effusion that is important regarding your fatigue. ...Read more
Big difference: Regurgitation refers to leakiness of a heart valve (we have four valve sin the heart through which blood flows into each respective chamber). However, a pericardial effusion is collection of fluid in the pericardial sac between the outer heart muscle wall and pericardium ("skin around heart"). ...Read more
Talk to your doc: Imagine your fist (representing your heart) pushing in one side of a balloon until the balloon (pericardium) surrounds the fist (heart). There's always a small amount of fluid between the two parts/sides of the pericardium to allow it to slide easily. With inflammation and/or injury, you can develop extra fluid known as an effusion. Talk to doctor who ordered echo b/c implications depend upon you. ...Read more
Pericardial effusion: If pericardial effusion is part of systemic fluid overload (anasarca) or as a result of renal failure (uremic) diuresis might be helpful. If the effusion, however, is large and compression prevents ventricular filling, then diuretics could make things worse, by reducing the preload and depressing ventricular filling even more. ...Read more
Pericarditis: Minimal chance of dying from viral pericarditis with small effusion. ...Read more
NO: No matter the cause I would not take the chance. ...Read more
What are the treatment options for a small but recurrent (3 recurrences) idiopathic pericardial effusion, which was already 2x the cause of fainting?
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