Pericardial effusion treatment overview: Difference between revisions
Varun Kumar (talk | contribs) New page: {{Pericardial effusion}} {{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}; Varun Kumar, M.B.B.S ==Treatment== Treatment depends on the underlying cause and the severity of the [[heart... |
Varun Kumar (talk | contribs) No edit summary |
||
| Line 4: | Line 4: | ||
==Treatment== | ==Treatment== | ||
Treatment depends on the underlying cause and the severity of the [[heart impairment]]. Pericardial effusion due to a viral infection usually goes away within a few weeks without treatment. Some pericardial effusions remain small and never need treatment. If the pericardial effusion is due to a condition such as [[lupus]], treatment with anti-inflammatory medications may help. If the effusion is compromising heart function and causing cardiac [[tamponade]], it will need to be drained, most commonly by a needle inserted through the chest wall and into the pericardial space. A drainage tube is often left in place for several days. In some cases, surgical drainage may be required by [[pericardiocentesis]], in which a needle, and sometimes a [[catheter]] are used to drain excess fluid. | Treatment depends on the underlying cause and the severity of the [[heart impairment]]. Pericardial effusion due to a viral infection usually goes away within a few weeks without treatment. Some pericardial effusions remain small and never need treatment. If the pericardial effusion is due to a condition such as [[lupus]], treatment with anti-inflammatory medications may help. If the effusion is compromising heart function and causing cardiac [[tamponade]], it will need to be drained, most commonly by a needle inserted through the chest wall and into the pericardial space. A drainage tube is often left in place for several days. In some cases, surgical drainage may be required by [[pericardiocentesis]], in which a needle, and sometimes a [[catheter]] are used to drain excess fluid. | ||
Pericardial window is made surgically in patients with recurrent [[pericardial effusion]] which drains the fluid into [[peritonial cavity]]<ref name="Hutchison2008">{{cite book|author=Stuart J. Hutchison|title=Pericardial diseases: clinical diagnostic imaging atlas|url=http://books.google.com/books?id=7mZS5PS97X4C&pg=PA93|accessdate=10 November 2010|date=10 December 2008|publisher=Elsevier Health Sciences|isbn=9781416052746|pages=93–}}</ref>. | |||
Indications for [[pericardiocentesis]] or a [[pericardial window]] include the following:<!-- | |||
--><ref name="maisch2">{{cite journal | author= Maisch B, Seferovic PM, Ristic AD, Erbel R, Rienmuller R, Adler Y, Tomkowski WZ, Thiene G, Yacoub MH | title= Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European Society of Cardiology | journal= Eur Heart J | year=2004 | pages=587–10 | volume=25 | issue=7 | pmid=15120056 | doi= 10.1016/j.ehj.2004.02.002}}</ref> | |||
* [[Cardiac tamponade]] | |||
* For diagnostic purposes if there is suspected purulent, [[tuberculosis]], or [[neoplastic pericarditis]] | |||
* The presence of a large, persistent, symptomatic pericardial effusion | |||
==References== | ==References== | ||
Revision as of 20:55, 18 July 2011
|
Pericardial effusion Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Pericardial effusion treatment overview On the Web |
|
American Roentgen Ray Society Images of Pericardial effusion treatment overview |
|
Risk calculators and risk factors for Pericardial effusion treatment overview |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Varun Kumar, M.B.B.S
Treatment
Treatment depends on the underlying cause and the severity of the heart impairment. Pericardial effusion due to a viral infection usually goes away within a few weeks without treatment. Some pericardial effusions remain small and never need treatment. If the pericardial effusion is due to a condition such as lupus, treatment with anti-inflammatory medications may help. If the effusion is compromising heart function and causing cardiac tamponade, it will need to be drained, most commonly by a needle inserted through the chest wall and into the pericardial space. A drainage tube is often left in place for several days. In some cases, surgical drainage may be required by pericardiocentesis, in which a needle, and sometimes a catheter are used to drain excess fluid.
Pericardial window is made surgically in patients with recurrent pericardial effusion which drains the fluid into peritonial cavity[1].
Indications for pericardiocentesis or a pericardial window include the following:[2]
- Cardiac tamponade
- For diagnostic purposes if there is suspected purulent, tuberculosis, or neoplastic pericarditis
- The presence of a large, persistent, symptomatic pericardial effusion
References
- ↑ Stuart J. Hutchison (10 December 2008). Pericardial diseases: clinical diagnostic imaging atlas. Elsevier Health Sciences. pp. 93–. ISBN 9781416052746. Retrieved 10 November 2010.
- ↑ Maisch B, Seferovic PM, Ristic AD, Erbel R, Rienmuller R, Adler Y, Tomkowski WZ, Thiene G, Yacoub MH (2004). "Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European Society of Cardiology". Eur Heart J. 25 (7): 587–10. doi:10.1016/j.ehj.2004.02.002. PMID 15120056.