Yvette (54) a journalist from Kent, started experiencing pain in her hip seven years ago in 2015. An ex-national gymnast who had been incredibly active and flexible her whole life, Yvette felt concerned about the growing discomfort impacting her quality of life, and so sought help from her GP.
Pericardial effusion and tamponade
A BUILD UP OF FLUID AROUND YOUR HEART, WHICH CAN AFFECT YOUR HEART FUNCTION
An abnormal accumulation of fluid in the pericardial cavity.
About pericardial effusion
Pericardial effusion is the accumulation of fluid in the double-layered, sack-like structure around your heart. The space between the layers normally contains a very thin layer of fluid. If the pericardium is inflamed or has experienced trauma it can lead to excess fluid. Tamponade is when this fluid build-up affects your normal heart function to such an extent that the fluid needs draining.
Need to know
It is possible to have pericardial effusion or tamponade and not have any symptoms. If you do have symptoms they may include:
- difficulty or laboured breathing (dyspnea)
- shortness of breath when lying down (orthopnea)
- chest pain, usually on the left side of your chest or behind your breastbone (sternum)
- chest tightness or fullness sensation
A large effusion or tamponade can compress the heart and this will require immediate medical attention.
A pericardial effusion will usually be diagnosed by an echocardiogram which uses sound waves to create images of your heart in real time.
Other tests may include a chest X-ray, CT or MRI scan and blood tests.
Your treatment will depend on the amount of fluid that has accumulated in your heart.
Options may include:
- Medications to reduce the inflammation such as aspirin or non-steroidal anti-inflammatory drugs (NSAIDs).
- Pericardiocentesis. This is a procedure where the fluid is drained from your heart using the insertion of a needle and a small tube (catheter) to drain the fluid to relieve the pressure.
- Surgery. This is reserved for the most severe of cases where your consultant determines that it is necessary to drain the liquid and repair any damage.
Patient stories
Yvette's story: From back pain to hip replacement surgery
A new hip and straight back into the spin of things
David’s gym video shows him repeatedly pushing up to 100kg on a single leg press – not particularly unusual for this keen cyclist, former competitive squash player and all-round fitness enthusiast. What is unusual is that 52-year-old David had hip surgery just 12 weeks earlier.
Michael's MAKO hip surgery to treat his arthritis
73 year-old Michael, an avid walker and charity worker, was diagnosed with arthritis in January 2021. After facing long waiting times and increasing pain that was becoming more frequent, he started to look elsewhere for treatment.
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.