Pericardial Effusion

Monnet, Eric

doi:10.1002/9781119693741.ch86

Cited by 3 publications

(6 citation statements)

References 45 publications

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“…Poor adherence to regular dialysis is another in our patient contributing to toxin accumulation. Clinical presentation in dialysis-associated pericarditis is nonspecific with dyspnea, abdominal pain, hypoxemia, and occasionally fever or chest pain being reported; laboratory abnormalities are usually related to the renal disease [4,5,8]. Findings of leukocytosis, hypocalcemia, transaminitis, and elevated lactic acid, as observed in our patient, are relatively uncommon and not specific [4,5,8].…”

Section: Discussionmentioning

confidence: 48%

“…Clinical presentation in dialysis-associated pericarditis is nonspecific with dyspnea, abdominal pain, hypoxemia, and occasionally fever or chest pain being reported; laboratory abnormalities are usually related to the renal disease [4,5,8]. Findings of leukocytosis, hypocalcemia, transaminitis, and elevated lactic acid, as observed in our patient, are relatively uncommon and not specific [4,5,8]. Chest imaging often shows cardiomegaly and pulmonary congestion patterns which suggest cardiac dysfunction [2-5, 11, 12].…”

Section: Discussionmentioning

confidence: 92%

“…Pericardial effusions are observed across a wide demographic and clinical spectrum, and patients presenting with significant pericardial effusion represent a diagnostic and management challenge. Risk factors for developing pericardial effusion include pericarditis secondary to infection, rheumatological diseases, postsurgical changes, renal pathologies, and malignancy [8].…”

Section: Discussionmentioning

confidence: 99%

“…Guidelines from the European Society of Cardiology for the management of renal failure-associated pericarditis include dialysis, pericardiocentesis or pericardial drainage, NSAIDs, corticosteroids, and colchicine. Management is based on the clinical presentation and hemodynamic stability of the patient [2,8,13].…”

Section: Discussionmentioning

confidence: 99%

“…Prognosis depends on hemodynamic instability, adherence to maintenance dialysis, and optimization of comorbid conditions [4,5,8,9,14]. The presence of atrial fibrillation and cardiac tamponade in cases of dialysis-induced pericarditis was found to be associated with poor prognosis [2,4].…”

Section: Discussionmentioning

confidence: 99%

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Uremic Pericarditis with Cardiac Tamponade in a Patient on Hemodialysis

Javed,

Molina,

Nasr

et al. 2023

Case Reports in Cardiology

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Uremic pericardial effusion and pericarditis in end-stage kidney disease patients remain one of the causes responsible for high rates of morbidity and occasional mortality. While clinical presentation could be variable, clinicians should have a high index of suspicion for uremic pericarditis especially in patients who miss their dialysis sessions. We present a 77-year-old man with end-stage renal disease on dialysis diagnosed with pericarditis and large pericardial effusion complicated by cardiac tamponade and shock. He underwent urgent pericardiocentesis with clinical improvement. The course of the disease can be complicated by shock with multiorgan failure, particularly the liver. The presentation is relatively acute requiring a high level of suspicion, urgent diagnosis, and management to reduce mortality. As the geriatric population increases with associated comorbid conditions, it would be expected that patients undergoing dialysis would increase. Given the uncommon nature of the disease and how these patients have been managed by multiple specialties and care providers, it is important to consider dialysis-related complications in all patients with end-stage renal disease presenting with dyspnea.

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Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Uremic Pericarditis with Cardiac Tamponade in a Patient on Hemodialysis

Javed,

Molina,

Nasr

et al. 2023

Case Reports in Cardiology

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Use of autologous pericardial patch graft for treatment of large congenital peritoneopericardial diaphragmatic hernia in two cats

Aguilar García,

Jiménez Peláez

2024

Vet Record Case Reports

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Peritoneopericardial diaphragmatic hernia is a congenital structural anomaly that results in a communication between the pericardial sac and the peritoneal cavity. About 50% of cats are asymptomatic at the time of diagnosis, and the remaining animals may show respiratory (dyspnoea, tachypnoea, exercise intolerance), gastrointestinal, cardiac tamponade or non‐specific clinical signs. Median celiotomy for herniorrhaphy without tension (primary closure, muscle flaps, synthetic mesh, pericardium) is the treatment of choice for symptomatic patients. Two cats were referred with respiratory signs, secondary to a peritoneopericardial diaphragmatic hernia. A pericardial patch graft was obtained and sutured to the diaphragm as an alternative technique to close the large defect and not cause excessive tension on the diaphragm and caval foramen. Patients recovered well without any complications after surgery. Re‐examination and thoracic radiographs at 1 week, 2 weeks, 3 months, 6 months and 3 years postoperatively showed no signs of recurrence and the patients remained asymptomatic.

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Kajian Pustaka: Efusi Perikardial

Rusmini,

Yulistiawati,

Sinaga

2024

J.MedHealth

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Efusi perikardial adalah akumulasi cairan perikardial yang abnormal di rongga pericardium. Data mengenai prevalensi dan kejadian efusi perikardial masih sedikit. Efusi perikardial dapat dialami oleh semua usia dan populasi. Penyebab efusi perikardial bervariasi berdasarkan karakteristik demografis seperti usia, geografi, dan komorbiditas. Gambaran klinis efusi perikardial bervariasi sesuai dengan kecepatan akumulasi cairan perikardial dan etiologinya. Penegakan Efusi pericardial harus dipandu oleh data epidemiologi dan presentasi klinis untuk menghindari melakukan pengujian yang ekstensif dan buta. Terapi efusi perikardial dilakukan sesuai etiologinya karena sekitar 60% kasus efusi perikardial berhubungan dengan penyakit yang mendasarinya.

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Pericardial Effusion

Cited by 3 publications

References 45 publications

Uremic Pericarditis with Cardiac Tamponade in a Patient on Hemodialysis

Uremic Pericarditis with Cardiac Tamponade in a Patient on Hemodialysis

Use of autologous pericardial patch graft for treatment of large congenital peritoneopericardial diaphragmatic hernia in two cats

Kajian Pustaka: Efusi Perikardial

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