Pericarditis in patients undergoing long-term hemodialysis and peritoneal dialysis

Silverberg, Samuel; Oreopoulos, Dimitrios G.; Wise, Daniel J.; Uden, David E.; Meindok, H.; Jones, Margaret; Rapoport, A.; Deveber, G.A.

doi:10.1016/0002-9343(77)90540-x

Cited by 69 publications

(31 citation statements)

References 10 publications

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“…Pericarditis is seen in advanced uraemia, and is more often observed in underdialyzed, nonadherent patients than those in those starting and those adherents to dialysis. Pericarditis is frequently seen in peritoneal dialysis patient than it occurs in haemodialysis patient 10 .…”

Section: Pericardial Diseasementioning

confidence: 99%

Cardiac status in patients of chronic kidney disease: an assessment by non-invasive tools

Singal

Gupta

et al. 2016

Bangladesh J Med Sci

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Background: Chronic Renal Insufficiency is a major public health problem. Cardiovascular Disease is the leading cause of morbidity and mortality in patients at every stage of Chronic Kidney Disease. There is a 10-200 fold increased risk of cardiovascular disease in those with Chronic Kidney Disease compared to the age and sex matched with general population, depending on the stage of Chronic Kidney Disease. Objective: The objective of the study was to see correlation, if any, of cardiac status and stage of kidney disease. Materials and methods: The study was conducted at M. M. Institute of Medical Sciences and Research, Mullana, Ambala. Thirty patients of Chronic Kidney Disease were included in the study. Chronic Kidney Disease is defined as kidney damage lasting for more than 3 months characterised by structural or functional abnormalities of the kidney, with or without decreased Glomerular Filtration Rate (GFR), according to the K/DOQI Guidelines. Inclusion criteria were based on symptomatology and clinical history of features suggestive of Chronic Kidney Disease. Symptoms, Signs and history of the patients were used to filter out patients who did not fit in the criteria and selected patients on the basis of criteria were further evaluated and investigated. All patients were subjected to detailed history and clinical examination. Patients with age <20 years, with history of Diabetes Mellitus, Dyslipidemia, Intrinsic Diseases of Ventricles, Congenital Heart Disease and chronic smokers were excluded from the study. A standard 12 lead ECG was done in all cases. Echocardiography was done in ECHO lab of Cardiology unit in MMIMSR. Echocardiographic assessment was done by using Model vivid Colour Doppler Echocardiography machine of GE make. Apical four chamber view was employed to obtain the measurements of Left ventricular volume in diastole and systole, Ejection fraction; Left Ventricular Indices were assessed and then were used to calculate Left Ventricular Mass by using the cube formula proposed by Devereux. Patients included in the study were treated as per the standard treatment schedule. The data obtained was analysed with appropriate statistical analysis tools at the end of the study and conclusive evidence was derived. Results: In the present study the mean Left Ventricular Mass was 249.76 ± 69.35 gms with 73% study cases having Left Ventricular Mass more than the reference range, also Left Ventricular Mass showed a progressive rise with increase in S. Creatinine levels. In the present study, Left Ventricular dysfunction was seen in nearly half of the cases while approximately one-fourth cases (23%) also had Systolic Dysfunction. Pericardial Effusion was also observed in 10 % the study cases in the present study.Conclusion: Cardiac functions particularly Left Ventricular parameters. Left Ventricular free wall thickness and Left Ventricular Mass being common abnormality in CKD patients.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.207-215

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Section: Pericardial Diseasementioning

confidence: 99%

Cardiac status in patients of chronic kidney disease: an assessment by non-invasive tools

Singal

Gupta

et al. 2016

Bangladesh J Med Sci

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“…Though ESRD is the presumed cause of up to 12% of pericardial effusions categorized as small or larger than small, the pathophysiology is incompletely understood [7,8]. Although the prevalence of pericardial effusion has declined in the face of more efficient hemodialysis, it's unclear whether this is mainly due to removal of metabolic wastes or optimization of volume status and hemodynamics [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Predicting pericardial effusions in end-stage renal disease: Does pulmonary hypertension play a role?

A¹,

Cameron²,

Llanos-Chea³

et al. 2017

Cardiovasc Disord Med

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“…It is related, at least in part, to inadequate dialysis [1,2] and is more commonly seen in hemodialysis than in peritoneal dialysis [3,4], Intensive hemodialysis is the initial treatment of choice for dialysis pericarditis [3,5], The role of pericardiocentesis for diag nosis and treatment is not clearly established except in case of pericardial tamponade [6], Subxiphoid rather than trans thoracic pericardiocentesis is preferred due to fewer com plications. However, there is a different consideration of the route in the presence of peritoneal dialysate in continuous ambulatory peritoneal dialysis (CAPD) patients.…”

Section: Introductionmentioning

confidence: 99%

Peritoneopericardial Communication after Pericardiocentesis in a Patient on Continuous Ambulatory Peritoneal Dialysis with Dialysis Pericarditis

Hou

Tsai²,

Hsu³

1994

Nephron

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A male patient aged 41 years had dialysis pericarditis with massive pericardial effusion in his 6-year on continuous ambulatory peritoneal dialysis (CAPD). Intensive hemodialysis failed to resolve the pericardial effusion. Pericardiocentesis via a subxiphoid approach was performed with placement of a pigtail catheter for drainage. A communication between peritoneal and pericardial cavities occurred, resulting in the leakage of the peritoneal dialysate into pericardial sac which was confirmed by a ^99mTc radionuclide scan. The fistula healed after removal of the catheter and discontinuation of CAPD. We suggest that pericardiocentesis via a subxiphoid approach for pericardial effusion should be cautiously exercised in CAPD cases for fear of peritoneopericardial fistula.

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Pericarditis in patients undergoing long-term hemodialysis and peritoneal dialysis

Cited by 69 publications

References 10 publications

Cardiac status in patients of chronic kidney disease: an assessment by non-invasive tools

Cardiac status in patients of chronic kidney disease: an assessment by non-invasive tools

Predicting pericardial effusions in end-stage renal disease: Does pulmonary hypertension play a role?

Peritoneopericardial Communication after Pericardiocentesis in a Patient on Continuous Ambulatory Peritoneal Dialysis with Dialysis Pericarditis

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