Contemporary management of pericardial effusion: practical aspects for clinical practice

Postgrad Med. 2017 Mar;129(2):178-186. doi: 10.1080/00325481.2017.1285676. Epub 2017 Feb 9.

Abstract

A pericardial effusion (PE) is a relatively common finding in clinical practice. It may be either isolated or associated with pericarditis with or without an underlying disease. The aetiology is varied and may be either infectious (especially tuberculosis as the most common cause in developing countries) or non-infectious (cancer, systemic inflammatory diseases). The management is essentially guided by the hemodynamic effect (presence or absence of cardiac tamponade), the presence of concomitant pericarditis or underlying disease, and its size and duration. The present paper reviews the current knowledge on the aetiology, classification, diagnosis, management, therapy, and prognosis of PE in clinical practice.

Keywords: Pericardial effusion; aetiology; diagnosis; prognosis; therapy.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Anti-Inflammatory Agents / therapeutic use
  • Cardiac Tamponade / epidemiology
  • Chronic Disease
  • Clinical Protocols
  • Disease Management
  • Drainage / methods
  • Echocardiography
  • Hemodynamics
  • Humans
  • Pericardial Effusion / epidemiology
  • Pericardial Effusion / physiopathology*
  • Pericardial Effusion / therapy*
  • Pericardial Fluid / chemistry
  • Pericardial Fluid / cytology
  • Pericardial Window Techniques
  • Pericardiectomy
  • Pericarditis / epidemiology
  • Prognosis
  • Risk Factors
  • Severity of Illness Index

Substances

  • Anti-Inflammatory Agents