Or you might be referred immediately to a cardiologist.When you make the appointment, ask if there's anything you need to do in advance, such as fasting before a specific test. Depending on the cause, the excess fluid may be either rich in protein (exudate) or watery (transudate).

We do not endorse non-Cleveland Clinic products or services. Treatment of pericardial effusion is based on the underlying condition that is causing it and if the effusion is leading to severe symptoms, such as shortness of breath or difficulty breathing.Medical history, examination of the patient, diagnositc testing, along with testing of the pericardial fluid helps the doctor determine the cause and treatment.

Your cardiologist can look for patterns that suggest tamponade.If you have a lot of fluid in the pericardium, a chest X-ray may show an enlarged heart.Computerized tomography (CT) scans and magnetic resonance imaging (MRI) can detect pericardial effusion, although they're not generally used to look for it.Treatment for pericardial effusion will depend on the amount of fluid, the underlying cause, and whether you have or are likely to develop cardiac tamponade. 9500 Euclid Avenue, Cleveland, Ohio 44195 | An echocardiogram can also show how well your heart is pumping blood and help diagnosis tamponade or a collapse in one of the heart's chambers.An electrocardiogram, also called an ECG or EKG, records electrical signals as they travel through your heart. Otherwise, you'll likely start by seeing your primary care provider. A pericardiectomy, or pericardial window, is a surgery that removes part or all of the heart lining.

Medical therapies for pericardial effusions include:Regardless if the pericardial effusion is transudative (consisting of watery fluid) or exudative (made up of protein-rich fluid), a large pericardial effusion causing respiratory symptoms or cardiac tamponade should be drained to remove the excess fluid, prevent its re-accumulation, or treat the underlying cause of the fluid buildup.Large pericardial effusions may be drained through:Pericardial effusions that cannot be managed through medical management or drainage of excess fluid may require surgical treatment.Your health care team will discuss the possible risks and benefits of each treatment option with you.Last reviewed by a Cleveland Clinic medical professional on 01/09/2019. For pericardial effusions due to inflammation of the sac, treating the inflammation also treats the effusion. A single copy of these materials may be reprinted for noncommercial personal use only. Get useful, helpful and relevant health + wellness informationThe latest information about heart & vascular disorders, treatments, tests and prevention from the No. Cleveland Clinic is a non-profit academic medical center. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Treating the cause of pericardial effusion often corrects the problem.If you don't have tamponade or there's no immediate threat of tamponade, your doctor might prescribe an anti-inflammatory drug to reduce inflammation of the pericardium:If anti-inflammatory treatments don't correct the problem or you have or are likely to have tamponade, your cardiologist may recommend one of the following procedures to drain fluids or prevent fluids from accumulating again.If your pericardial effusion is discovered as a result of a heart attack or other emergency, you won't have time to prepare for your appointment. There are two types of pericardiectomies: A partial pericardiectomy removes a diseased portion of the heart lining. All rights reserved. Pericardial effusion, sometimes referred to as \"fluid around the heart,\" is the abnormal build-up of excess fluid that develops between the pericardium, the lining of the heart, and the heart itself.

Make a list of:For pericardial effusion, some basic questions to ask your doctor include:Your doctor is likely to ask you a number of questions, including:Mayo Clinic does not endorse companies or products. This test allows your doctor to see how much fluid has collected in the space between the two layers of the pericardium. Advertising on our site helps support our mission.

If you have signs or symptoms of pericardial effusion, a series of blood and imaging tests will be done to confirm the diagnosis, identify possible causes and determine treatment.Sometimes, pericardial effusion is discovered when tests are done for other reasons.An echocardiogram uses sound waves to create real-time images of your heart. Advertising on our site helps support our mission.

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