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[Therapy of uremic pericarditis]
Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|June 15, 1977
Summary
Uremic pericarditis, a complication of hemodialysis, can arise from metabolic issues or underdialysis syndrome. Early detection and treatment, including surgical options, are crucial for managing this serious condition in dialysis patients.
Area of Science:
- Nephrology
- Cardiology
- Internal Medicine
Background:
- Uremic pericarditis is a known complication of hemodialysis.
- It can manifest early due to metabolic imbalances or later due to underdialysis syndrome.
- Underdialysis syndrome may stem from fistula/shunt issues or infections like sepsis or hepatitis.
Purpose of the Study:
- To report on experiences with the dialytic treatment of uremic pericarditis.
- To analyze the incidence and outcomes of uremic pericarditis in chronic dialysis patients.
- To discuss surgical interventions for pericarditic changes.
Main Methods:
- Retrospective analysis of patients undergoing chronic dialysis.
- Observation of uremic pericarditis cases between 1970 and 1976.
- Documentation of complications such as hemorrhagic effusions and cardiac tamponade.
Main Results:
- Uremic pericarditis was observed in 21 out of 83 (25.3%) chronic dialysis patients.
- Three patients developed hemorrhagic effusions requiring intervention, with one experiencing cardiac tamponade.
- The longest survival post-transplantation for a patient with early-stage uremic pericarditis and cardiac arrest was 5.5 years.
Conclusions:
- Uremic pericarditis requires careful monitoring in dialysis patients.
- Prompt diagnosis and management, including consideration of surgical options, are vital.
- Outcomes can be improved with timely intervention and potentially renal transplantation.