Contemporary Examples. 1  Biden is such a straight shooter that pundits say he needs a muzzle. 2  Suddenly, the darkness came alive with muzzle flashes and tracer rounds. 3  The result of the back-and-forth was guaranteed national publicity for the very ideas the politicians wanted to muzzle.
Early symptoms of fluid around the heart include feeling out of breath, even when lying down. Breathing often becomes easier when you sit up or lean forward. Other signs include feeling lightheaded or dizzy, chest pain that is sharp and stabbing, chest tightness and a dry, chronic cough.
Difficulty breathing performing everyday actions or lying down represent the primary pericardial effusion symptom. Sharp pains in chest together with tightness, and chronic dry cough may occur as well. Nausea, dizziness, fainting, troubles with swallowing are the symptoms of fluid accumulation around the heart. People also complain of a low grade fever with pain radiating between the neck, shoulders, chest, abdomen and back.