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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The causes of reduced urine output due to pericardial effusion

Pericardial effusion can potentially lead to reduced urine output. This occurs because in patients with pericardial effusion, the diastolic function of the heart is restricted, limiting the blood volume during the diastolic phase. This, in turn, reduces the amount of blood pumped by the heart during the systolic phase, ultimately leading to ischemia. To ensure the blood supply to vital organs like the brain, the heart reduces its blood supply, impacting the glomerular filtration rate, and thus symptoms of reduced urine output can occur. Additionally, symptoms such as limb edema, shortness of breath, respiratory difficulties, and chest tightness often accompany these. As pericardial effusion can cause congestion in the gastrointestinal tract, some patients may also experience abdominal distension, nausea, and vomiting among other digestive symptoms. A pericardial effusion ultrasound can definitively diagnose a pericardial effusion.

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Written by Di Zhi Yong
Cardiology
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What position should be taken for pericardial effusion?

If the patient is diagnosed with pericardial effusion, it is generally recommended that the patient remain in a semi-recumbent position, or with legs dangling, to reduce cardiac load and improve symptoms. This is because the main complication of pericardial effusion is the occurrence of myocardial ischemia, or myocardial necrosis. Additionally, the primary treatment for pericardial effusion is still based on pericardiocentesis to improve cardiac function. During this period, it is also essential to actively monitor changes in the patient's blood pressure. If the patient's blood pressure is too high, antihypertensive medications should be used. Generally, a semi-recumbent position is still recommended for patients with pericardial effusion.

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Written by Li Hai Wen
Cardiology
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Does pericardial effusion require diuresis?

Whether pericardial effusion requires diuretic treatment depends on the cause of the pericardial effusion. If the pericardial effusion is caused by heart failure, the patient often experiences symptoms of heart failure such as difficulty breathing, fatigue, and swelling of the limbs. In this case, diuretic treatment is necessary. Appropriate diuretic treatment can effectively improve the symptoms of heart failure, reduce the degree of pericardial effusion, and may even avoid the need for pericardial puncture. If the pericardial effusion is caused by tuberculosis, diuretic treatment often cannot effectively reduce the pericardial effusion. If the amount of pericardial fluid is large, puncture and fluid extraction are often needed to improve symptoms, while actively treating the tuberculosis causing the condition.

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Written by Li Hai Wen
Cardiology
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Is pericardial effusion prone to recurrence?

Whether pericardial effusion is prone to recurrence depends on the causes of the effusion. There are many causes of pericardial effusion, such as organic heart disease, heart failure, tumors, tuberculosis, and hypoproteinemia, all of which can lead to the development of pericardial effusion. Among these, pericardial effusion caused by tuberculous pericarditis will not recur as long as standardized anti-tuberculosis treatment is administered and the tuberculosis is controlled. However, pericardial effusion caused by heart failure may recur repeatedly because heart failure itself can also recur. Moreover, pericardial effusion caused by tumors, if the tumors cannot be eradicated, often also recurs.

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Written by Xie Zhi Hong
Cardiology
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Causes of recurrent pericardial effusion

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.