Abstract
Of 250 patients undergoing haemodialysis from 1967 to 1974 17 presented with uraemic pericarditis. Seven of these patients who had been transferred early enough to peritoneal dialysis treatment were cured without pericardiectomy (mean survival 18 months (range 6-36); no deaths). Only one patient was cured from his pericarditis by "aggressive haemodialysis." In seven out of 10 patients treated with haemodialysis, pericardiectomy finally had to be performed because of pericardial tamponade (postoperative survival 20 months (range 8-36); one death). Two patients died from pericardial tamponade before surgery. In patients with evidence of uraemic pericarditis frequent peritoneal dialysis with high fluid withdrawal is the treatment of choice, but in cardiac tamponade pericardiectomy should follow a preoperative pericardiocentesis with limited fluid aspiration. Of possible significance in the aetiology of pericarditis were the findings that 10 of the 17 patients had hypertension with cardiac enlargement and that 14 presented with evidence of underdialysis, possibly due to the reuse of dialysis components.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Brunner F. P., Gurland H. J., Härlen H., Schärer K., Parsons F. M. Combined report on regular dialysis and transplantation in Europe, II, 1971. Proc Eur Dial Transplant Assoc. 1972;9:3–34. [PubMed] [Google Scholar]
- Buselmeier T. J., Simmons R. L., Najarian J. S., von Hartitzsch B., Dietzman R. H., Kjellstrand C. M. Intractable uraemic pericardial effusion. Proc Eur Dial Transplant Assoc. 1973;10(0):289–297. [PubMed] [Google Scholar]
- Comty C. M., Cohen S. L., Shapiro F. L. Pericarditis in chronic uremia and its sequels. Ann Intern Med. 1971 Aug;75(2):173–183. doi: 10.7326/0003-4819-75-2-173. [DOI] [PubMed] [Google Scholar]
- Eliasson G., Murphy J. F. Steroid therapy in uremic pericarditis. A report of three cases. JAMA. 1974 Sep 16;229(12):1634–1635. [PubMed] [Google Scholar]
- Kramer P., Matthaei D., Go J. G., Winckler K., Scheler F. Effect of blood factor deposits in reused dialysers on the dialysance of middle weight molecules. Proc Eur Dial Transplant Assoc. 1972;9:278–289. [PubMed] [Google Scholar]
- Lindsay J., Jr, Crawley I. S., Callaway G. M., Jr Chronic constrictive pericarditis following uremic hemopericardium. Am Heart J. 1970 Mar;79(3):390–395. doi: 10.1016/0002-8703(70)90426-6. [DOI] [PubMed] [Google Scholar]
- Ribot S., Frankel H. J., Gielchinsky I., Gilbert L. Treatment of uremic pericarditis. Clin Nephrol. 1974;2(4):127–130. [PubMed] [Google Scholar]
- Skov P. E., Hansen H. E., Spencer E. S. Uremic pericarditis. Acta Med Scand. 1969 Nov;186(5):421–428. doi: 10.1111/j.0954-6820.1969.tb01497.x. [DOI] [PubMed] [Google Scholar]