Can coronary heart disease cause pericardial effusion?

Jul 24, 2022 Source: Cainiu Health
Disease description:

I had a physical examination last week and was diagnosed with coronary heart disease. I heard from someone nearby that coronary heart disease can cause pericardial effusion—can coronary heart disease actually lead to pericardial effusion?

Doctor's answer (1)
Dr. Li Man
Yes, it is possible. Pericardial effusion may occur in patients with more severe forms of this condition; however, it typically does not develop in mild cases. In severe disease, coronary artery perforation may trigger acute coronary syndrome, leading to hemorrhagic pericardial effusion. Additionally, other conditions—including tumor-associated idiopathic pericarditis, infectious pericarditis, and tuberculous pericarditis—can also cause pericardial effusion.