Pericardial effusion treatment overview: Difference between revisions
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{{Pericardial effusion}} | {{Pericardial effusion}} | ||
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}; [[Varun Kumar]], M.B.B.S | {{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}; [[Varun Kumar]], M.B.B.S | ||
==Overview== | |||
Treatment of pericardial effusion depends on the underlying cause and the severity of the [[heart impairment]]. | |||
==Treatment== | ==Treatment== | ||
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>. | *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:<!-- | Indications for [[pericardiocentesis]] or a [[pericardial window]] include the following:<!-- | ||
Revision as of 15:56, 8 August 2013
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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
Overview
Treatment of pericardial effusion depends on the underlying cause and the severity of the heart impairment.
Treatment
- 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.