“…Cause of PE includes: Specific causes of pericarditis include the following and are briefly reviewed below: 1-Idiopathic causes, 2-Infectious conditions, such as viral, bacterial, and tuberculosis infections, 3-Inflammatory disorders, such as RA, SLE, scleroderma, and rheumatic fever, 4-Metabolic disorders, such as renal failure, hypothyroidism, and hypercholesterolemia, 5-Cardiovascular disorders, such as acute MI, Dressler syndrome, and aortic dissection. [19][20][21][22] Miscellaneous causes, such as iatrogenic, neoplasm, drugs, irradiation, cardiovascular procedures, and trauma. In this relatively small series, 14 patients (3.3%) had low cardiac output syndrome within the first 24 postoperative hours, notwithstanding the "marked, sudden improvement in their hemodynamic status after drainage of the pericardial effusion.…”