Heart & Cardiology/Pericardial Effusion


I have had sinus inflammation/infections since November.  For the past three weeks, I have become breathless when walking/talking and also woke up at night not being able to take a deep breath.  Pain by the sternum when taking a deep breath started.  My Dr. Did a breathing test which showed my lung capacity was 60% of normal  I was put on nebulized meds. I used them for one week but they did not help at all.  I was getting worse.  My doctor ordered a ct of the chest.  I had the ct done this past Thursday.  The radiologist had me stay while he contacted my doctor.  I was at the cardiologist office two hours later having an echo and in the hospital Thursday night.  I had the effusion drained yesterday.

Is one liter considered a lot of fluid?

Could there be a relationship between chronically inflamed sinuses and the effusion

Hello Amy

One liter is right much fluid.

Only a doubtful relationship exists between chronic sinus inflammation and pericardial effusion, meaning I doubt if they are connected.

Please write back if this note doesn’t answer all your questions.

David Richardson

Heart & Cardiology

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David Richardson


Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.


Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.

Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..

Circulation, American Heart Journal, Hypertension.

M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.

Awards and Honors
Gold Heartt Award from American Heart Association in 1995.

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