Pericardial effusion causes

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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.

Causes of Pericardial Effusion Based Upon Composition of Effusion

Serous

• Acute pancreatitis
• Chemotherapeutics
• Chronic disease
• Cirrhosis
• Congestive heart failure
• Dressler's syndrome
• Hypoalbuminemia
• Hypothyroidism
• Infection
• Irradiation
• Malnutrition
• Nephrotic Syndrome

Blood

• Acute myocardial infarction
• Anticoagulants
• Aortic rupture
• Cardiac catheterization
• Chemotherapeutics
• Coagulopathy
• Heart surgery
• Neoplasm
• Perforation
• Trauma
• Uremia

Lymph or Chylous

• Benign obstruction of thoracic duct
• Idiopathic
• Neoplasm

Metastatic Tumor

• Breast cancer
• Leukemia
• Lung cancer
• Lymphoma
• Pericarditis

Miscellaneous

• Cardiomyopathy
• Systemic Lupus Erythematosus

Infectious

• Viral
• Pyogenic
• Tuberculous
• Fungal
• Other infections (syphilitic, protozoal, parasitic)
• Pericarditis

Noninfectious

• Idiopathic
• Uremia: Kidney failure with excessive blood levels of urea nitrogen
• Heart surgery
• Neoplasia that has spread to the pericardium
• Acute myocardial infarction: Post myocardial infarction pericarditis (Dressler's syndrome)
• Postirradiation
• Aortic dissection (with leakage into pericardial sac)
• Trauma
• Sarcoidosis
• Pericarditis

Hypersensitivity or Autoimmunity Related

• Amyloid
• Collagen vascular disease
• Drug-induced
• Lupus
• Pericarditis
• Rheumatic fever

Causes by Organ System

Cardiovascular	Acute myocardial infarction, aortic dissection, aortic rupture, bacterial pericarditis, benign obstruction of thoracic duct, capillary leak syndrome, cardiomyopathy, congestive heart failure, constrictive pericarditis, dilated cardiomyopathy, dissecting aortic aneurysm, dressler's syndrome, hypersensitivity pericarditis with eosinophilia, Kawasaki disease, myocardial rupture, pericarditis, ventricular aneurysm, cantu syndrome, hypertrichotic osteochondrodysplasia, heart surgery, fungal pericarditis, pyogenic pericarditis, tuberculous pericarditis, viral pericarditis, uremic pericarditis, rheumatic pericarditis
Chemical / poisoning	Asbestosis, scorpion sting
Dermatologic	Cantu syndrome, hypertrichotic osteochondrodysplasia
Drug Side Effect	Anticoagulants, chemotherapy, daunorubicin, doxorubicin, hydralazine, isoniazid, minoxidil, penicillins, phenytoin, procainamide
Ear Nose Throat	No underlying causes
Endocrine	Hypothyroidism, myxedema
Environmental	No underlying causes
Gastroenterologic	Acute pancreatitis, cirrhosis
Genetic	Cantu syndrome, congenital disorders of glycosylation, hypertrichotic osteochondrodysplasia
Hematologic	Coagulopathy, leukemia, lymphoma
Iatrogenic	Cardiac catheterization, dialysis, heart surgery, percutaneous interventional procedures, postpericardiotomy syndrome, radiation
Infectious Disease	Coccidiomycosis, fungal pericarditis, histoplasmosis, infection, legionella, mycobacterium tuberculosis, neisseria, pneumococci, pyogenic pericarditis, rheumatic fever, scrub typhus, staphylococci, streptococci, syphilis, tuberculous pericarditis, viral pericarditis, pneumonia
Musculoskeletal / Ortho	Cantu syndrome, hypertrichotic osteochondrodysplasia
Neurologic	No underlying causes
Nutritional / Metabolic	Malnutrition, congenital disorders of glycosylation
Obstetric/Gynecologic	Ovarian hyperstimulation syndrome
Oncologic	Kaposi sarcoma, lymphoma, neoplasia that has spread to the pericardium, leukemia, lung cancer
Opthalmologic	No underlying causes
Overdose / Toxicity	No underlying causes
Psychiatric	No underlying causes
Pulmonary	Bronchogenic cyst, lung cancer, pneumonia
Renal / Electrolyte	Nephrotic Syndrome, renal failure, uremic pericarditis
Rheum / Immune / Allergy	Amyloidosis, breast cancer, collagen vascular disease, rheumatic pericarditis, sarcoidosis, scleroderma, systemic lupus erythematosus , dressler's syndrome
Sexual	No underlying causes
Trauma	Chest trauma
Urologic	No underlying causes
Dental	No underlying causes
Miscellaneous	Hypoalbuminemia, idiopathic, radiation

Causes in Alphabetical Order

Acute myocardial infarction Acute pancreatitis Amyloidosis Anticoagulants Aortic dissection Aortic rupture Asbestosis Bacterial pericarditis Benign obstruction of thoracic duct Breast cancer Bronchogenic cyst Cantu syndrome Capillary leak syndrome Cardiac catheterization Cardiomyopathy Chemotherapy Chest trauma Cirrhosis of liver Coagulopathy Coccidiomycosis Collagen vascular disease Congenital disorders of glycosylation Congestive heart failure Constrictive pericarditis Daunorubicin Dialysis Dilated cardiomyopathy Dissecting aortic aneurysm Doxorubicin Dressler's syndrome Fungal pericarditis Heart surgery Histoplasmosis Hydralazine Hypersensitivity pericarditis with eosinophilia Hypertrichotic osteochondrodysplasia Hypoalbuminemia Hypothyroidism Idiopathic Infection Isoniazid Kaposi sarcoma

Kawasaki disease Legionella Leukemia Lung cancer Lupus Lymphoma Malnutrition Minoxidil Mycobacterium tuberculosis Myocardial rupture Myxedema Neisseria Neoplasia that has spread to the pericardium Nephrotic Syndrome Ovarian hyperstimulation syndrome Penicillin Percutaneous interventional procedures Pericarditis Phenytoin Pneumococci Pneumonia Postirradiation Postpericardiotomy syndrome Procainamide Pyogenic pericarditis Radiation Renal failure Rheumatic fever Rheumatic pericarditis Sarcoidosis Scleroderma Scorpion sting Scrub typhus Staphylococci Streptococci Syphilis Systemic lupus erythematosus Tuberculous pericarditis Uremic pericarditis Ventricular aneurysm Viral pericarditis

References

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