NPPB and pericardial effusion: However, our patient has been stable throughout one year period after pericardiocentesis on his regular therapy after titration of diuretic furosemide (one tablets of 40 mg two to four times weekly) according to signs of right heart failure and measurements of NT-pro BNP (NT-proBNP before 600 ng/L, at the time of detection 1029 ng/L and one year after detection of circumferential pericardial effusion 601 ng/L).