2023年7月17日 · Uremic pericarditis has been shown to respond rapidly to dialysis, leading to the resolution of chest pain and pericardial effusion in most cases. Effective dialysis therapy has been observed to be helpful in over 50% of cases.

Uremic pericarditis, the most common manifestation of uremic pericardial disease, is a contemporary problem that calls for intensive hemodialysis, anti‐inflammatories, and often, drainage of large inflammatory pericardial effusions.

2016年7月6日 · Electrical alternans was completely absent. A subsequent echocardiogram disclosed a large pericardial effusion with tamponade physiology and moderate reduction of ejection fraction to 35% (Figures 2 and 3).

Our experience suggests that the great majority of uremic pericardial effusions can be effectively controlled with simple needle aspiration by experienced personnel and that pericardial resection is usually not necessary. Xericardial effusion may complicate the care of ure-mic patients and can produce pericardial tamponade.

2023年9月1日 · In patients presenting with severe complications of uremia (eg, encephalopathy, severe refractory acidosis, symptomatic pericardial effusion) and high degrees of azotemia, dialysis needs to be initiated slowly, with low flow rates to avoid disequilibrium syndrome.

Echocardiography demonstrated a fibrinous pericardial effusion. The patient was initiated on hemodialysis for hyperkalemia, metabolic acidosis, and uremia. He subsequently developed shock from cardiac tamponade, which required emergent pericardiocentesis.

Renal replacement therapies are the main-stay of treatment for uremic pericarditis and should be initiated as soon as possible. But when symptoms are refractory or fail to improve, pharmaco-logic therapies should be considered.

Uremic pericarditis, the most common manifestation of uremic pericardial disease, is a contemporary problem that calls for intensive hemodialysis, anti-inflammatories, and often, drainage of large inflammatory pericardial effusions.

2024年2月14日 · In uremic pericarditis, the echocardiogram may show pericardial effusion (fluid buildup around the heart) or thickening of the pericardium. Chest X-ray: A chest X-ray can also detect pericardial effusion and may be used in conjunction …

Invasive intervention is indicated if cardiac tamponade or pretamponade develops, if a pericardial effusion increases progressively in size, or if a large effusion persists after ten to 14 days of intensive dialysis.