Why does pericardial effusion cause difficulty in breathing?

Written by Di Zhi Yong
Cardiology
Updated on September 01, 2024
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Pericardial effusion primarily manifests as palpitations, chest tightness, and difficulty breathing. Sometimes, pericardial effusion can exacerbate heart failure. Once heart failure is alleviated, these symptoms can also subside.

Currently, it appears that pericardial effusion mainly presents as palpitations, chest tightness, and difficulty breathing, which are related to diet and fatigue, especially after exercise. This increase in myocardial oxygen consumption can lead to heart failure, resulting in difficulty breathing, particularly exertional dyspnea. At this point, it is necessary to provide low-flow oxygen inhalation and improve the patient's cardiopulmonary function, which is also helpful.

It is still necessary to actively treat pericardial effusion. The treatment mainly involves diagnostic aspiration of the fluid. If the pericardial effusion is caused by inflammation, it can be treated with antibiotics.

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Written by Di Zhi Yong
Cardiology
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Is pericardial effusion related to diet?

If a patient often experiences pericardial effusion, it is recommended that they visit a hospital for a cardiac echocardiogram, as this pericardial effusion is necessarily connected to the heart. Although it is not greatly related to diet, if the patient enjoys eating salty foods, it can still have a certain impact. It is advised to choose a diet low in salt, fat, and sugar, especially limiting sodium intake, because consuming too much salt can exacerbate fluid and sodium retention, leading to pericardial effusion. Currently, treatment mainly focuses on symptomatic treatment, and early use of medications. Diuretics can be used to help alleviate the patient's current condition.

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Written by Di Zhi Yong
Cardiology
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When should the pericardial effusion drainage tube be removed?

If the patient has pericardial effusion and there is no apparent leakage from the drainage tube, and no fluid drainage, it is possible to consider removing the tube after two days. In cases like this, active drainage is sometimes still necessary because pericardial effusion is a type of exudate, which can be inflammatory. Draining can help relieve the cardiac workload. If the drainage tube is clear and there is no fluid leakage, removing the tube after about two days can be considered. However, there is a situation where the tube must not be removed. If there is fluid leaking from the pericardial effusion, or if the symptoms of pericardial effusion are still severe, and there is some fluid remaining in the pericardial cavity, the tube should not be removed.

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Written by Cai Li E
Cardiology
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Why does pericardial effusion cause abnormal pulses?

Pulsus paradoxus refers to a condition where the pulse weakens significantly or disappears during inhalation, caused by a decrease in the left ventricular stroke volume. Normally, the strength of the pulse is not affected by the respiratory cycle. However, when cardiac tamponade, significant pericardial effusion, or constrictive pericarditis occurs, inhalation can restrict the relaxation of the right heart, leading to a reduced volume of blood returning to the heart and affecting the right heart’s output. Consequently, the amount of blood the right ventricle pumps into the pulmonary circulation is reduced. Furthermore, the pulmonary circulation is affected by the negative thoracic pressure during inhalation, causing pulmonary vessels to dilate and reducing the volume of blood returning from the pulmonary veins to the left atrium. Therefore, the output of the left heart also decreases. These factors lead to a weakened pulse during inhalation, which can sometimes be imperceptible, also known as pulsus paradoxus. This condition can be identified by a significant drop in systolic pressure by more than 10mmHg during inhalation compared to exhalation.

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Written by Di Zhi Yong
Cardiology
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Can pericardial effusion cause fever?

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.

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Written by Li Hai Wen
Cardiology
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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.