What are the symptoms and signs of pericardial effusion, Biology

Q. What are the Symptoms and Signs of pericardial effusion?

Asymptomatic: Slowly accumulating small to moderate pericardial effusion may not cause significant elevation of intra-pericardial pressure and hence are asymptomatic. Occasionally these patients complain of fatigue or exertional breathlessness.

Symptoms and Signs

Symptoms of large pericardial effusion are:

a) Feeling of dull ache or pressure in the centre part of chest.

b) Symptoms due to compressive effect of fluid filled pericardial sac on neighbouring structures:

i) Dyspnoea - due to lung compression and collapse. Bronchial heart sounds and impaired resonance on percussion below the angle of the left scapula due to lung collapse in large pericardial effusion is known as Ewart's sign.

ii) Dysphagia - due to oesophageal compression.

iii) Irritating cough - due to bronchial irritation and compression.

iv) Hiccough - due to phrenic nerve stretch and irritation.

v) Hoarseness - rarely can occur due to compression of left recurrent laryngial nerve.

c) Symptoms due to systemic venous congestion like facial puffiness, right hypochondrial pain, abdominal fullness and nausea can occur.

d) Massive and rapid pericardial effusion can cause cardiac tamponade which can cause haemodynamic collapse - fall in cardice output, hypotension and shock.

Clinical Signs of PE

Jugular venous pressure may be elevated in moderate PE. ‘X' descent will be more prominent than ‘Y' descent. No abnormal impulses over the precordium. On percussion, the dull note may extend beyond the palpated apex beat and also on to the right side of sternum. Heart sounds may be feeble and pericardial rub may be heard. Investigations 1) Electrocardiogram (ECG): Low voltage complexes is the classical ECG finding. In massive PE with tamponade, electrical alternans, (sometimes total electrical alternans) can occur.

2) X-ray Chest: Uniform cardiomegaly with a smooth outline is characteristic of PE. The superior venacava is usually engorged. Pulmonary vessels will be less prominent. In large pericardial effusion, the cardio-phrenic angle will be acute.

Posted Date: 5/27/2013 8:10:39 AM | Location : United States

Related Discussions:- What are the symptoms and signs of pericardial effusion, Assignment Help, Ask Question on What are the symptoms and signs of pericardial effusion, Get Answer, Expert's Help, What are the symptoms and signs of pericardial effusion Discussions

Write discussion on What are the symptoms and signs of pericardial effusion
Your posts are moderated
Related Questions
Define Meat as a Rich Source of Protein? Skeletal or striated muscles are used for food purposes. Flesh of cattle, sheep and swine comprise most of the meat contents. Edible me

Basic characters of vertebrate classes

PHYLUM  PORIFERA Definition and Introduction Lowest  multicellular animals or metazoans without  true  tissues, i.e. , at  Cellular level or body organization. Familiar

Define Etiology and Clinical Features of Epilepsy? This disorder usually starts in childhood, with the peak incidence between birth and two years. Etiological factors include

State the the amount of the nutrient On increasing the amount of the nutrient the yield increases and the decrease from the maximum i.e., (A-y) becomes less. Subsequent additio

Q. Explain about Long acting insulin? Long acting: Long acting insulin does not work until 4 Lo 8 hours after injecting. Its peak activity occurs 18 to 24 hours after injectio

what is anotmy

Describe what would happen if people lost all of their mitochondria and explain why it would happen.

Q. What are the organs that are part of the female reproductive system? The organs that constitute the female reproductive system are the ovaries, the uterus, the Fallopian tub

Prevention of Accidents - Accidents and Losses The theories of accident causation explained earlier serve as good guide to prevent accident. The factors that may cause acciden