On every echo minimal pericardial effusion is noted. I have a history of SVT's, erratic blood pressure and shortness of breath with grade 1 dystolic dysfunction. Went to cardio doc yesterday and asked him about the effusion and he just balked and dismissed it saying *everyone has that*. Is this true? Does everyone who has an echo have it noted? Also it was never measured so there's no way to gauge whether it's getting worse. There's also no cause given. I feel dismissed, also feel like I've been given the runaround more times than I can say. Bottom line - should someone have a minimal pericardial effusion noted on their echos?