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If you are known to have a pericardial effusion and tonight you have had new onset of chest pressure then you need to be evaluated right away / ASAP/ at the ER!!
This may be angina ...you may be having complications due to increased pressure of the effusion on the heart..
You need cardiac evaluation and care right away..
I would advise you to call 911 to minimize any possible delay...
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Anthony Bray MD
Do your best to take care of yourself...