Uremic pericarditis: a report of 30 cases and review of the literature

The American Journal of Case Reports
Seyed-Ali Sadjadi, Ardavan Mashahdian

Abstract

Male, 71 • Male, 69 • . Female, 49. Uremic pericarditis. — — Hemodialysis. Nephrology. Rare disease. Uremic pericarditis, common at one time among dialysis patients, has become a rare entity in recent years. Due to its low incidence, its recognition has gained importance among internists, cardiologists, and nephrologists. It can be seen in predialysis patients and in dialysis patients who are on hemodialysis or peritoneal dialysis. We report 3 cases of uremic pericarditis and their presenting manifestations and review 30 cases we have treated. Among these patients, the traditional findings among patients with acute pericarditis such as chest pain, fever, electrocardiographic changes, and leukocytosis are uncommon. Pericardial friction rub has a relatively high incidence but its differentiation by an untrained ear, especially by a non-cardiologist, could be a major problem. Not infrequently, it is complicated by pre-tamponade or tamponade, requiring pericardiocentesis or pericardial surgery. Uremic pericarditis is a treatable, but not always a preventable, condition. Timely recognition of its presence and its efficient management are essential elements of successful treatment.

References

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Citations

Dec 19, 2020·Cardiology in Review·Savneek ChughShantanu Solanki
Oct 12, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Cassandra A PetriChristian Hanna

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