Difference Between Pericarditis and Pericardial Effusion

Both pericarditis and pericardial effusion involve the pericardium. Pericarditis is inflammation of the pericardium while pericardial effusion occurs when at that place is excess fluid in the pericardium. The following discussions further delve into their differences.


What is Pericarditis?

Pericarditis or pericardial illness is inflammation of any of the layers of the pericardium, a thin tissue sac surrounding the heart (Beckerman, 2020).

Symptoms:

The most common symptom is sharp, piercing pain in the left side or center of the chest; the other symptoms may include heart palpitations, low fever, shortness of breath, fatigue, dry out coughing, nausea, and abdominal or leg swelling (Health Direct, 2021).

Causes/Hazard:

One of the mutual reasons is viral infection; pericarditis may occur after a digestive or respiratory infection. Recurring and chronic pericarditis may exist attributed to autoimmune disorders (the immune arrangement makes antibodies that erroneously set on the torso’s cells) like rheumatoid arthritis, lupus, and scleroderma.

The other possible causes include heart attack, heart surgery, kidney failure, AIDS, tuberculosis, cancer, injuries from radiation therapy or accidents, and side furnishings of certain medications (i.e., warfarin, heparin, and phenytoin).

Regarding risks, men ages 16 to 65 are more than likely to develop pericarditis. Upwards to 30% of patients who were treated for acute pericarditis may experience it over again (American Center Clan, 2021).

Handling:

The treatments include medications (non-steroidal anti-inflammatory drugs, antibiotics, colchicine, and pain relief), avoiding strenuous activity, and surgery (American Heart Association, 2021). Most pericarditis patients recover in two to four weeks (Beckerman, 2020).


What is Pericardial Effusion?

Pericardial effusion occurs when at that place is excess fluid in the pericardium, a tough and double-layered saclike construction surrounding the centre. There are ordinarily 2 to three tablespoons of clear yellow fluid that helps the heart move easier inside the sac. Nevertheless, an individual with pericardial effusion may accept 100 ml to more than than 2L of fluid between the sac’due south ii layers (Hoffman, 2020).

Symptoms

Those with mild effusion may not have symptoms; still, those with severe conditions may experience breast pain or discomfort, fainting, enlargement of cervix veins, fast and short breathing, nausea, increased center rate, swelling in the arms and legs, and pain in the right upper abdomen. Those with very astringent effusion may experience very low blood pressure and evidence symptoms of shock such every bit dizziness, pale and clammy skin, rapid breathing, less urine output, nausea, vomiting, and cool artillery and legs (Kang, & Wojcik 2021).

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Causes

1 of the most mutual causes is pericarditis, more fluid is produced due to the inflammation of the sac. The inflammation is normally caused past viral infections such as HIV, lupus, tuberculosis, echoviruses, cytomegalovirus, and coxsackieviruses. Other causes include cancer, heart injury due to medical procedure, center attack, kidney failure, and autoimmune diseases. In many cases, a specific cause could not be found, and the condition may exist chosen idiopathic pericardial effusion (Hoffman, 2020).

Treatment

The treatments may include medication (antibiotics and hurting relievers), pericardiocentesis (draining the fluid), and surgery (Kang, & Wojcik 2021).

Difference between Pericarditis and Pericardial Effusion

Definition

Pericarditis or pericardial illness is inflammation of any of the layers of the pericardium, a thin tissue sac surrounding the heart (Beckerman, 2020). Every bit for pericardial effusion, information technology occurs when there is excess fluid in the pericardium, a tough and double-layered saclike structure surrounding the middle (Hoffman, 2020).

Symptoms

The most mutual symptom of pericarditis is sharp, piercing hurting in the left side or centre of the chest; the other symptoms may include middle palpitations, depression fever, shortness of breath, fatigue, dry cough, nausea, and abdominal or leg swelling (Health Direct, 2021). In comparison, those with mild effusion may non accept symptoms; however, those with severe conditions may experience chest pain or discomfort, fainting, enlargement of neck veins, fast and short breathing, nausea, increased heart rate, swelling in the arms and legs, and pain in the right upper abdomen. Those with very severe effusion may experience very low blood pressure and testify symptoms of shock such as dizziness, pale and clammy pare, rapid breathing, less urine output, nausea, vomiting, and cool arms and legs (Kang, & Wojcik 2021).

Causes

I of the mutual reasons of pericarditis is viral infection. Recurring and chronic pericarditis may be attributed to autoimmune disorders. The other possible causes include heart attack, heart surgery, kidney failure, AIDS, tuberculosis, cancer, injuries from radiation therapy or accidents, and side effects of certain medications (American Heart Association, 2021).  Regarding pericardial effusion, i of the most mutual causes is pericarditis; the inflammation is usually caused by viral infections such as HIV, lupus, tuberculosis, echoviruses, cytomegalovirus, and coxsackieviruses. Other causes include cancer, centre injury due to medical procedure, heart attack, kidney failure, and autoimmune diseases. In many cases, a specific crusade could not be plant, and the condition may be called idiopathic pericardial effusion (Hoffman, 2020).

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Treatment

The treatments for pericarditis include medications (non-steroidal anti-inflammatory drugs, antibiotics, colchicine, and pain relief), fugitive strenuous action, and surgery (American Middle Association, 2021). Well-nigh pericarditis patients recover in two to four weeks (Beckerman, 2020).  As for pericardial effusion, the treatments may include medication (antibiotics and pain relievers), pericardiocentesis (draining the fluid), and surgery (Kang, & Wojcik 2021).

Pericarditis vs Pericardial Effusion


Frequently Asked Questions (FAQs):

Tin you have pericarditis without pericardial effusion?

Yep. Most patients with sudden onset pericarditis have only a pocket-sized or no pericardial effusion (UpToDate, 2022).

How can you tell the deviation between pleural effusion and pericardial effusion?

Pleural effusion is the buildup of fluid around the lungs; patients practise not usually present with symptoms just those who do may feel shortness of breath, breast hurting (particularly when breathing in deeply), fever, and cough (Hoffman, 2020). On the other hand, pericardial effusion is the buildup of fluid around the middle; those with mild effusion may non have symptoms. Those with severe conditions may experience breast pain or discomfort, fainting, enlargement of neck veins, fast and brusque animate, nausea, increased heart rate, swelling in the arms and legs, and hurting in the right upper abdomen. Those with very severe effusion may feel very low blood force per unit area and show symptoms of shock such every bit dizziness, pale and clammy pare, rapid breathing, less urine output, nausea, vomiting, and cool arms and legs (Kang, & Wojcik 2021).

What is the well-nigh mutual cause of pericardial effusion?

I of the most common causes is pericarditis, more than fluid is produced due to the inflammation of the sac. In many cases, a specific cause could not be found, and the condition may be chosen idiopathic pericardial effusion (Hoffman, 2020).

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What is Beck’southward triad used for?

Beck’southward triad (low blood pressure, distension of jugular veins, and muffled heart sounds) is associated with the development of acute cardiac tamponade (a type of pericarditis) which occurs when the fluid buildup in the pericardial sac impairs the heart’due south ability to pump well (Castillo, 2022).

What are the types of pericarditis?

The following are types of pericarditis co-ordinate to symptoms and causes (Mestrovic, 2021)

Types Based on Symptoms Types Based on Causes
Acute (chest pain develops of a sudden) Constrictive (associated with thickening of pericardial layers which leads to the constriction of the heart)
Chronic (symptoms concluding longer than iii-half-dozen mos.) Pericardial Effusion (accumulation of fluid within the pericardial cavity)
Recurrent (repeated episodes) Cardiac Tamponade (the increment of pericardial fluid leads to pericardium malfunction)
Viral (due to viruses such as coxsackieviruses, flu virus, and HIV)
Purulent (due to aerobic and anaerobic bacteria)
Tuberculous (seen in a very small pct of those with pulmonary tuberculosis)
Radiation (due to recent mediastinal radiation)
Traumatic (due to sharp or blunt trauma)
Malignancy (acquired by metastatic disease)

Summary

  • Pericarditis is inflammation of any of the layers of the pericardium while pericardial effusion occurs when in that location is excess fluid in the pericardium.
  • The virtually mutual symptom of pericarditis is precipitous, piercing pain in the left side or center of the chest. In comparison, those with mild effusion may non have symptoms; yet, those with severe weather may experience chest pain, fainting, enlargement of cervix veins, fast and curt breathing, nausea, swelling in the artillery and legs, etc. Those with very astringent effusion may experience very low blood force per unit area and show symptoms of stupor.
  • One of the common reasons of pericarditis is viral infection while ane of the most common causes of pericardial effusion is pericarditis.
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