PMID: 1203670Dec 6, 1975Paper

Management of uraemic pericarditis

British Medical Journal
P KramerF Scheler

Abstract

Of 250 patients undergoing haemodialysis from 1967 to 1974 17 presented with uraemic pericarditis. Seven of these patients who had been transferred early enough to peritoneal dialysis treatment were cured without pericardiectomy (mean survival 18 months (range 6-36); no deaths). Only one patient was cured from his pericarditis by "aggressive haemodialysis." In seven out of 10 patients treated with haemodialysis, pericardiectomy finally had to be performed because of pericardial tamponade (postoperative survival 20 months (range 8-36); one death). Two patients died from pericardial tamponade before surgery. In patients with evidence of uraemic pericarditis frequent peritoneal dialysis with high fluid withdrawal is the treatment of choice, but in cardiac tamponade pericardiectomy should follow a preoperative pericardiocentesis with limited fluid aspiration. Of possible significance in the aetiology of pericarditis were the findings that 10 of the 17 patients had hypertension with cardiac enlargement and that 14 presented with evidence of underdialysis, possibly due to the reuse of dialysis components.

References

Sep 16, 1974·JAMA : the Journal of the American Medical Association·G Eliasson, J F Murphy
Mar 1, 1970·American Heart Journal·J LindsayG M Callaway
Aug 1, 1971·Annals of Internal Medicine·C M ComtyF L Shapiro

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Citations

Jan 1, 1988·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·C R Medani, R E Ringel
Mar 1, 1981·Irish Journal of Medical Science·A J WatsonJ A Keogh
Nov 1, 1983·Kidney International·D SpectorG Briefel
May 21, 2014·Journal of Nephrology·Stanislas BatailleHenri Vacher-Coponat
Feb 24, 2001·Seminars in Dialysis·J E Wood, R L Mahnensmith
Oct 1, 1980·Klinische Wochenschrift·P KramerF Scheler

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