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Suggest treatment for pericardial cyst

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Posted on Thu, 5 May 2016
Question: I have been told I have a pericardial cyst and the cardiologist is not giving me a lot of info just that you don't do anything with them they are fine where it is...I have been admitted to hospital 3 times due to them thinking I had a heart attack with chest pains, shortness of breathe and BP being high and a high heart rate. I was given metropol for the BP and heart rate and that is better, but I am still having pains and breathing issues...I am not a complainer and hate having to keep going to ER if I don't need to but the cardiologist can never see me I have not seen him since I left the hospital almost 4 weeks ago. I have now been told I have h polyi and have been put on two antibiotics and pepito and protonics. I have had a nuclear stress test, Echocarido gram and the CT scan that found the cyst. Is the cyst something I need to be worried about?
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Answered by Dr. Vivek Chail (42 minutes later)
Brief Answer:
The pericardial cyst is probably small and your doctor wants to observe it

Detailed Answer:
Hi,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. A cyst is a harmless fluid filled sac and pericardium is covering of heart. Therefore pericardial cyst is a fluid filled harmless sac originating from covering of heart which is usually congenital and asymptomatic in most people. It is always harmless and and symptoms occur due to pressure on adhjacent structures.

2. The treatment of pericardial cysts is observation first and if it continues to griw then percutaneous drainage is recommended. Should it recur or if it is large in size then resection by surgery is the treatment of choice.

3. In your case the echocardiography and CT report finding is not mentioned. Therefore it is difficult to know the exact size and location of the pericardial cyst. However your cardiologist has seen the report and is convinced that you should observe the cyst and follow up. This means that the pericardial cyst is probably smaller in size and located in a place where it is unlikely to be causing symptoms and it is not a serious problem.

4. Chest pain and heart burn can be caused due to stomach conditions including h pylori infection. Your doctor wants to treat you for h pylori and would like to watch for your symptoms to decrease.

5. Please take the treatment for h pylori and discuss any improvement in symptoms with your doctor. Request you to send CT scan report for better understanding of your problem. In conclusion your doctor wants to watch the pericardial cyst for some time before considering any treatment involving drainage or surgery. Looks like you should not worry much about it and proceed with recommended management. In case of severe pain please do not hesitate to seek medical assistance and express your desire to discuss in detail with your cardiologist keeping in mind the points which are listed above.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6798 Questions

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Suggest treatment for pericardial cyst

Brief Answer: The pericardial cyst is probably small and your doctor wants to observe it Detailed Answer: Hi, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. 1. A cyst is a harmless fluid filled sac and pericardium is covering of heart. Therefore pericardial cyst is a fluid filled harmless sac originating from covering of heart which is usually congenital and asymptomatic in most people. It is always harmless and and symptoms occur due to pressure on adhjacent structures. 2. The treatment of pericardial cysts is observation first and if it continues to griw then percutaneous drainage is recommended. Should it recur or if it is large in size then resection by surgery is the treatment of choice. 3. In your case the echocardiography and CT report finding is not mentioned. Therefore it is difficult to know the exact size and location of the pericardial cyst. However your cardiologist has seen the report and is convinced that you should observe the cyst and follow up. This means that the pericardial cyst is probably smaller in size and located in a place where it is unlikely to be causing symptoms and it is not a serious problem. 4. Chest pain and heart burn can be caused due to stomach conditions including h pylori infection. Your doctor wants to treat you for h pylori and would like to watch for your symptoms to decrease. 5. Please take the treatment for h pylori and discuss any improvement in symptoms with your doctor. Request you to send CT scan report for better understanding of your problem. In conclusion your doctor wants to watch the pericardial cyst for some time before considering any treatment involving drainage or surgery. Looks like you should not worry much about it and proceed with recommended management. In case of severe pain please do not hesitate to seek medical assistance and express your desire to discuss in detail with your cardiologist keeping in mind the points which are listed above. Hope your query is answered. Please do write back if you have any doubts. Regards,