ABSTRACT

Echocardiography is requested for patients with known or suspected:

pericardial effusion (Table 15.1) Causes of pericardial effusions<sup> <xref ref-type="bibr" rid="ref15_1">1</xref> </sup> Common

Infection

Viral (Coxsackievirus, echovirus, HIV), TB, coxiella

Cancer

Angiosarcoma, metastases

Metabolic

Low albumin, hypothyroidism, renal failure

Reactive

Chest infections especially pneumococcal

Systemic inflammatory diseases

SLE, rheumatoid arthritis, Sjogren’s syndrome, systemic sclerosis

Heart failure

Idiopathic

Uncommon

Post radiation

Dressler’s syndrome

Autoimmune pericarditis after post cardiac surgery, myocardial inflarction or trauma

Direct injury

Blunt or sharp chest injury, RF ablation

Drugs

Isoniazid, minoxidil, hydralazine, phenytoin

Aortic dissection

pericardial constriction

pericarditis.