spread from other parts of the body.
# Metabolic: hypothyroidism (myxedema coma), severe protein deficiency
# Traumatic: penetrating or blunt chest trauma, aortic dissection
# Reduced lymphatic drainage: congestive heart failure, nephrotic syndrome

Pathophysiology

How much fluid is stored in the pericardial sac at one particular time is based on the balance between production and reabsorption. Studies have shown that much of the fluid that accumulates in the pericardial

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