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Pericardial Effusion

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Question: Pericardial effusion? Hi, I had a Ct scan of the chest with oral and IV contrast. The results were that I had pericardial effusion. The symptoms that I have been having that are probably related to this issue are: Chest pain behind the breast bone, low blood pressure, rapid heart rate, shortness of breath, dizziness/lightheaded-ness, random low-grade fevers, occasional dry cough, and the chest pain seems to improve when I lean forward and worsen when I lie flat. I am only 18, but these symptoms are affecting my life pretty badly and I have tried medications (Aspirin and such) to help the problem. It has not went away or improved, so is there another option for treatment of this condition? I am only 18, but

Answer: Treatment for pericardial effusion will depend first on, what exactly is causing the effusion, how much fluid has accumulated in the lungs (one reason why you have the dry cough and shortness of breath), and whether it has caused (or is likely to cause) impaired heart function due to the pressure on the heart. If there is no evidence of tamponade, (impaired heart function) your doctor may have you try an anti-inflammatory such as Indocin, Motrin, or Advil. If that doesn't help, he may suggest/prescribe a corticosteroid such as prednisone. Once you see your doctor to review the results of your CT scan I'm sure all these questions will be answered for you appropriately. Specific treatment depends on so many variables it's best to wait and do as your doctor suggests. I hope you'll be feeling better soon.


Pericardial Effusion News

Here's How One Crucial Hour Saved a Rochester Hills Jogger's Life

Patch.com
To start, they diagnosed her with a large pericardial effusion, which meant she had a lot of fluid around her heart. Doctors soon began a surgical procedure to remove the fluid, which was putting pressure on her heart. But during that surgery, ...
 

EPs, Surgeons Team Can Defeat Afib

MedPage Today
This included one transient ischemic attack, two pericardial effusions, two transfusions for bleeding, and two cases of post-operative ileus. The adverse event rate after 30 days was also 6.1% and included one transient ischemic attack, two pericardial ...
 

U.S. Food And Drug Administration Approves Pfizer's INLYTA(R) (axitinib) For ...

MarketWatch (press release)
Pleural effusion, hemodynamically significant pericardial effusions requiring intervention, convulsions, rhabdomyolysis, Stevens-Johnson Syndrome, complex regional pain syndrome and extravasations have been reported during postmarketing use.
 

Cardiac Risk Higher for Women Getting Radiation

MedPage Today
Tait noted that the most common toxicity was pericardial effusion, experienced by 23 patients, including five symptomatic cases. The researchers also observed single cases of angina, cardiomegaly, heart failure, myocardial infarction, and sick sinus ...
 

Fishing report released

Gladstone Observer
A 35cm green turtle was examined which had a peritoneal effusions and pericardial effusion. The turtle was emaciated but had ingesta in its intestines, indicating that it had been eating. Tissues were collected for pathology. The salinity at Hummocky ...
 

Novel procedure shows promising results as treatment for persistent AF

Cardiology Today
Perioperative complications included one (0.9%) transient ischemic attack, two (1.7%) pericardial effusions and two (1.7%) bleeds requiring transfusion. No pacemakers were required during the perioperative period; six patients (5.3%) required ...
 

Life-changing, life-saving seminar by Sagip Buhay

Inquirer.net
Take the case of ER, 59-year-old iron welder who developed massive accumulation of fluid in the heart sac called pericardial effusion. The heart was literally being pressed upon by the fluid so it could not beat efficiently to pump out the blood from ...