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Uremic Pericarditis and Cardiac Tamponade in Chronic Renal Failure
- CLAUDE BEAUDRY, M.D.;
- SATORU NAKAMOTO, M.D.; and
- WILLEM J. KOLFF, M.D., F.A.C.P.
- Requests for reprints should be addressed to Willem J. Kolff, M.D., Cleveland Clinic Foundation, Cleveland, Ohio 44106.
Excerpt
Uremic pericarditis has long been regarded as a sign of impending death (1-4). Since the introduction of intermittent dialysis and renal transplantation, the outlook for the uremic patient has improved. Many patients with chronic renal failure can be rehabilitated, and their pericarditis frequently disappears. However, cardiac tamponade, hitherto rare (5-10), is recognized more often and is compatible with prolonged survival if adequately treated.
The present report reviews the clinical and pathological observations made on a series in 27 patients with chronic renal failure in whom a diagnosis of pericarditis was made during life.
MATERIAL AND METHODS During the period 1956
This 100-word excerpt has been provided in the absence of an abstract.
Summario in Interlingua
Pericarditis uremic es un entitate satis frequente le qual, durante longe tempores, esseva reguardate como un signo de morte imminente. Depost le advento de un plus extense uso de hemodialyse e dialyse peritonee e depost le advento del allograffage renal, multe patientes con chronic insufficientia renal pote esser rehabilitate e lor pericarditis dispare frequentemente. Tamponage cardiac, rar in le litteratura del passato, es recognoscite plus frequentemente in nostre dies e es compatibile con un prolongate superviventia, providite que illo es tractate adequatemente.
Nos reporta 27 casos de chronic insuficientia renal con pericarditis uremic, diagnosticate durante le vita del patientes. Un ruito de friction pericardial esseva presente in 25 del casos. Omne le patientes esseva tractate per hemodialyse. Dece-septe patientes superviveva durante periodos de inter 4 e 28 menses. Tamponage cardiac occurreva in 15 patientes. Pericardiocentese es frequentemente requirite, e pericardiectomia partial esseva indicate in 5 del casos del presente serie. Tamponage cardiac debe esser recogniscite prococemente e tractate como un evento de urgentia. Si tamponage cardiac es tractate adequatemente, le prognose in casos in que illo es presente es relativemente bon. Le uso de heparinisation regional es recommendate in subjicer patientes con pericarditis uremic a procedimentos de dialyse.
Article and Author Information
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From the Department of Artificial Organs, Cleveland Clinic Foundation, Cleveland, Ohio.
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This work was supported by a grant from the John A. Hartford Foundation to the Cleveland Clinic Foundation with Dr. Kolff as principal investigator.
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- Received November 18, 1965.
- Accepted November 29, 1965.
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