Can thyroid problems cause pericardial effusion?

Can thyroid problems cause pericardial effusion?

Hypothyroidism, having the potential to affect any organ system, can be complicated by serious pathologies requiring timely intervention. One of the rare, yet serious complications of hypothyroidism is pericardial effusion [5-10]. Hypothyroidism causes increased permeability of the pericardial capillaries to albumin.

How much pericardial effusion is normal?

Normally there is between 10–50 ml of pericardial fluid.

What is pericarditis effusion?

Pericardial effusion is the buildup of extra fluid in the space around the heart. If too much fluid builds up, it can put pressure on the heart. This can prevent it from pumping normally. A fibrous sac called the pericardium surrounds the heart. This sac consists of two thin layers.

Does pericarditis cause effusion?

Pericardial effusion can result from inflammation of the pericardium (pericarditis) in response to illness or injury. Pericardial effusion can also occur when the flow of pericardial fluid is blocked or when blood collects within the pericardium, such as from a chest trauma.

Why might pleural effusion be present in someone with hypothyroidism?

that have not fully documented the characteristics of the pleural fluid. However, patients with hypothyroidism develop pleural effusions from other causes or related to their state of reduced thyroid function, such as pericardial fluid, congestive heart failure or ascites. Pericardial effusion associated with myxedema.

Why does hypothyroidism cause pericarditis?

Hypothyroidism causes pericardial effusion through increased permeability of the epicardial vessels and decreased lymphatic drainage of albumin, resulting in accumulation of fluid in the pericardial space.

Can thyroid problems cause pleural effusion?

that have not fully documented the characteristics of the pleural fluid. However, patients with hypothyroidism develop pleural effusions from other causes or related to their state of reduced thyroid function, such as pericardial fluid, congestive heart failure or ascites.

What to do when tamponade complicates pericarditis?

When tamponade complicates pericarditis, immediate drainage is indicated. In most cases, drainage is accomplished percutaneously with imaging guidance; some cases require surgical management. Constrictive pericarditis is a possible complication of nearly any pericardial disease process.

How many patients have effusive – constrictive pericarditis?

Follow-up ranged from 1 month to 15 years (median, 7 years). A total of 1184 patients with pericarditis were evaluated, 218 of whom had tamponade. Of these 218, 190 underwent combined pericardiocentesis and catheterization. Fifteen of these patients had effusive–constrictive pericarditis and were included in the study.

How to diagnose acute and recurrent pericarditis?

The diagnosis of acute pericarditis should be based on the presence of at least two of the following four criteria: 1) characteristic chest pain, 2) pericardial friction rub, 3) characteristic electrocardiographic changes, and 4) new or worsening pericardial effusion.

Which is a possible complication of pericardial disease?

Constrictive pericarditis is a possible complication of nearly any pericardial disease process. Diagnosis may be challenging, and rests on integration of bedside features with characteristic echocardiographic findings.