Pericardial Effusion: Causes, Symptoms, and Treatment
"Large, serious pericardial effusions may cause symptoms including:
Shortness of breath
Palpitations (sensation that the heart is pounding or beating fast)
Light-headedness or passing out
Cool, clammy skin
A pericardial effusion causing these symptoms is a medical emergency and may be life-threatening."
Your engine is 'a knocking loudly, big guy.
Go to a **** doc and buy some oil.