What Is Pericardial Effusion?
The medical in which there is exuberant fluid buildup around the mettle is termed as Pericardial Effusion . surround the heart is a theca like structure which is send for the pericardium . This pericardium has two layer and in between the level there is a small amount of fluid . In cases when there is an injury to the pericardium this results in inflammation of the pericardium with resultant extravagant mobile buildup causing Pericardial Effusion . In some cases Pericardial Effusion can be caused due to pooling of blood in the pericardium after a operative procedure . This excessive fluid buildup starts to put air pressure on the heart adversely affecting the functioning of the heart . This condition involve to be treated as it may result in potentially serious complications to include heart unsuccessful person .
What Causes Pericardial Effusion?
Pericardial ignition which is also screw as pericarditis develops after an injury or a disease to the pericardium . This inflammation then results in development of Pericardial Effusion . This consideration may also occur when there is blockage of flow of the pericardial fluids or pooling of blood after a surgical subprogram . There are also some disease conditions which can lead in Pericardial Effusion but the accurate crusade as to why they get it is not solely clear . Some of the medical condition that may result in Pericardial Effusion are :
What Are The Symptoms Of Pericardial Effusion?
Some of the symptoms of Pericardial Effusion are :
How Is Pericardial Effusion Diagnosed?
To start with , the treating physician will take a elaborate history as to when the symptom started , whether there is gruffness of breath with exertion or even at rest . The doc will then perform a physical examination where he or she will listen to the pulse looking for any unnatural speech sound which in the fount of Pericardial Effusion will be a high pitched dissonance called as friction rub . If a Pericardial Effusion is suspected then the physician may consult you to a heart specialist for specialized testing and confirm the diagnosing . Some of the tests that the heart surgeon may perform are :
Electrocardiogram : This tryout point the heartbeat in the form of electrical nerve impulse . This mental testing can show whether there is any irregularity in the speech rhythm of the bosom and whether the center is function normally .
Echocardiogram : This test makes use of ultrasound wave to look at the functioning of the heart . This test can accurately identify any abnormality of the functioning of the nerve .
Transesophageal Echocardiogram : This is a form of echocardiogram in which images of the heart are obtained through a transducer that is inserted into the gullet .
Chest X - ray : This can reveal whether there is any expansion of the inwardness or not which can rule in or rule out cardiomegaly as a cause of the heart murmur .
Apart from these tests a CT scan or an MRI will also be get which can accurately detect presence of Pericardial Effusion .
If Pericardial Effusion is substantiate than the physician may order roue test to key out the causa of it and then formulate a definitive plan for treatment of Pericardial Effusion .
How Is Pericardial Effusion Treated?
The amount of fluid cumulate in the pericardium decide the musical mode of treatment for the affected individual and whether the outburst is severe enough to put insistency on the heart and reduce the function of the pump . This is also called as cardiac tamponade . Once the effort of Pericardial Effusion is treated more often than not the effusion firmness of purpose .
For treatment to start with medications will be distribute to reduce the inflammation of the pericardium . Some of the medications administered are Bayer , NSAIDs like ibuprofen or Indocin , colchicine . In casing if these medication are not effective in decreasing the effusion the physician may then try a steroid like prednisone to diminish the inflammation and thus help fix the effusion .
If antiinflammatory agent are not helpful in fall the inflammation and the amount of fluid is severe enough to put you at risk for a cardiac dysfunction then the MD may employ the following methods for treatment to enfeeble the fluid from the pericardium and forestall recurrence of collection . These method are :
abdominocentesis : To do this , a minor catheter may be inserted in the pericardium and the fluid collect will be drain . This process is called pericardiocentesis . This is usually done under fluoroscopic guidance for accurate insertion .
give Heart Surgery : In case the outburst is caused due to leech from a recent heart surgical procedure a surgical procedure may be postulate for drainage of the pericardium and repair any defect that may be cause due to the condition . In some sheath , the operating surgeon created a path from the pericardium to the abdominal caries so that any excess fluid goes through this path into the abdominal pit where it is absorbed .
In some cases , the sawbones may join the two layer of the pericardium together . This operation is called intrapericardial sclerosis . In this procedure a solution is infix into the pericardium which in effect seals the two layer of the pericardium together . This procedure is done in recurrent cases of Pericardial Effusion .
In some cases the entire pericardium may be remove . This function is called as Pericardiectomy . This routine is done for recurrent episode of Pericardial Effusion . Is should be noted that there is no change in the purpose of the heart without the pericardium and is also an effective fashion of preclude perennial Pericardial Effusion .
