PMID: 148249May 1, 1978Paper

Echocardiographic detection of cardiac involvement in patients with chronic renal failure

Archives of Internal Medicine
I D'CruzG Glick

Abstract

Echocardiography was performed in 50 patients in chronic renal failure with symptoms suggestive of possible cardiac involvement. Pericardial effusions were detected in 33 and pericardial thickening in 22. In five patients solid material, probably fibrinous, was seen adherent to the parietal or visceral pericardium. The left ventricle was dilated in 18 patients and showed definitely impaired contractility in 16. The left ventricular (LV) posterior wall was abnormally thick in 19 patients. In two, the ventricular septum was more than 1.3 times as thick as the LV posterior wall. Other echocardiographic findings included calcification in the mitral annulus region, mitral valve vegetations, and thickened chordae tendineae. Echocardiography has proved to be of great help in the assessment of symptomatic patients with chronic renal failure not only in diagnosing the presence and extent of pericardial effusion and thickening, but also in detecting impaired myocardial contractility, calcification in the posterior mitral annulus region, and vegetations of bacterial endocarditis.

Citations

Dec 1, 1984·British Heart Journal·S K PehrssonL E Lins
Apr 16, 2003·The American Journal of the Medical Sciences·Martin A Alpert
Mar 1, 1984·Chest·M B FormanW J Stone
Oct 1, 1982·Chest·T J MontagueE R Smith
Sep 15, 1987·The American Journal of Cardiology·J L CohenV Batuman
Nov 16, 2004·Anesthesiology Clinics of North America·Tetsu Uejima
Jun 1, 1993·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·G R MartinE J Ruley

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