Uremic pericarditis in patients with End Stage Renal Disease: Prevalence, symptoms and outcome in 2017
The prevalence of uremic pericarditis (UP) used to range from 3% to 41%. More recently, it has decreased to about 5%–20% and to
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| Veröffentlicht in: | The American journal of emergency medicine 2018-03, Vol.36 (3), p.464-466 |
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| container_title | The American journal of emergency medicine |
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| creator | Bentata, Yassamine Hamdi, F. Chemlal, A. Haddiya, I. Ismaili, N. El Ouafi, N. |
| description | The prevalence of uremic pericarditis (UP) used to range from 3% to 41%. More recently, it has decreased to about 5%–20% and to |
| doi_str_mv | 10.1016/j.ajem.2017.11.048 |
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More recently, it has decreased to about 5%–20% and to <5% in the last decades, as hemodialysis techniques have become widely used and dialysis quality improved. The objective of this work is to determine the initial clinical picture and the prognosis of patients presenting End Stage Renal Disease (ESRD) with UP. Materials: This is a retrospective study (May 2015–September 2017). Inclusion criteria targeted patients who had uremic pericarditis defined as pericarditis occurring in a patient with ESRD before initiation of renal replacement therapy, or within eight weeks of its initiation. Results: 16 patients met the inclusion criteria. The median age of patients was 54 [24, 71] years and 56.2% were male. Pericardial effusion was small, moderate and large in 31.2%, 37.6% and 31.2% of cases respectively. One pericardiocentesis was performed in view of a clinical picture of impending cardiac tamponade and three pericardial drainages were performed given presentation of tamponade. Hemodialysis was initiated for all the patients and continued for 2 to 3weeks until complete regression of the pericardial effusion. The mean number of dialysis sessions was 11±3.5. One patient died of septic shock that developed three weeks after diagnosis of uremic pericarditis. Conclusion: UP is considered a rare but fatal complication of ESRD because of the risk of tamponade and its prognosis remains dependent on early diagnosis and adequate treatment of ESRD.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2017.11.048</identifier><identifier>PMID: 29248269</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Blood pressure ; Catheters ; Diabetes ; Diagnosis ; Dialysis ; Effusion ; Emergency medical care ; ESRD, mortality ; Evolution ; Fatalities ; Heart diseases ; Hemodialysis ; Kidney diseases ; Mortality ; Nephrology ; Patients ; Pericarditis ; Prevalence ; Prognosis ; Renal replacement therapy ; Septic shock ; Tamponade ; Thoracic surgery ; Uremia, pericarditis ; Viral infections</subject><ispartof>The American journal of emergency medicine, 2018-03, Vol.36 (3), p.464-466</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-5cf35f80b4050b4f4a3f2856a6f099273a79dd857908ae3af526d9f60b9a6d5a3</citedby><cites>FETCH-LOGICAL-c384t-5cf35f80b4050b4f4a3f2856a6f099273a79dd857908ae3af526d9f60b9a6d5a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2012388054?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29248269$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bentata, Yassamine</creatorcontrib><creatorcontrib>Hamdi, F.</creatorcontrib><creatorcontrib>Chemlal, A.</creatorcontrib><creatorcontrib>Haddiya, I.</creatorcontrib><creatorcontrib>Ismaili, N.</creatorcontrib><creatorcontrib>El Ouafi, N.</creatorcontrib><title>Uremic pericarditis in patients with End Stage Renal Disease: Prevalence, symptoms and outcome in 2017</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>The prevalence of uremic pericarditis (UP) used to range from 3% to 41%. More recently, it has decreased to about 5%–20% and to <5% in the last decades, as hemodialysis techniques have become widely used and dialysis quality improved. The objective of this work is to determine the initial clinical picture and the prognosis of patients presenting End Stage Renal Disease (ESRD) with UP. Materials: This is a retrospective study (May 2015–September 2017). Inclusion criteria targeted patients who had uremic pericarditis defined as pericarditis occurring in a patient with ESRD before initiation of renal replacement therapy, or within eight weeks of its initiation. Results: 16 patients met the inclusion criteria. The median age of patients was 54 [24, 71] years and 56.2% were male. Pericardial effusion was small, moderate and large in 31.2%, 37.6% and 31.2% of cases respectively. One pericardiocentesis was performed in view of a clinical picture of impending cardiac tamponade and three pericardial drainages were performed given presentation of tamponade. Hemodialysis was initiated for all the patients and continued for 2 to 3weeks until complete regression of the pericardial effusion. The mean number of dialysis sessions was 11±3.5. One patient died of septic shock that developed three weeks after diagnosis of uremic pericarditis. Conclusion: UP is considered a rare but fatal complication of ESRD because of the risk of tamponade and its prognosis remains dependent on early diagnosis and adequate treatment of ESRD.</description><subject>Blood pressure</subject><subject>Catheters</subject><subject>Diabetes</subject><subject>Diagnosis</subject><subject>Dialysis</subject><subject>Effusion</subject><subject>Emergency medical care</subject><subject>ESRD, mortality</subject><subject>Evolution</subject><subject>Fatalities</subject><subject>Heart diseases</subject><subject>Hemodialysis</subject><subject>Kidney diseases</subject><subject>Mortality</subject><subject>Nephrology</subject><subject>Patients</subject><subject>Pericarditis</subject><subject>Prevalence</subject><subject>Prognosis</subject><subject>Renal replacement therapy</subject><subject>Septic shock</subject><subject>Tamponade</subject><subject>Thoracic surgery</subject><subject>Uremia, pericarditis</subject><subject>Viral infections</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kTtvFTEQhS1ERG4Cf4ACWaKhyG78WK9tRINCgEiRQEBqy9c7Bq_2FdubKP8er26goKCZab5zNHMOQi8pqSmh7Xlf2x7GmhEqa0pr0qgnaEcFZ5Wikj5FOyK5qFop5DE6SaknhNJGNM_QMdOsUazVO-RvIozB4QVicDZ2IYeEw4QXmwNMOeH7kH_hy6nD37P9CfgbTHbAH0ICm-At_hrhzg4wOTjD6WFc8jwmbAs9r9nNI2xW233P0ZG3Q4IXj_sU3Xy8_HHxubr-8unq4v115bhqciWc58Irsm-IKMM3lnumRGtbT7Rmklupu04JqYmywK0XrO20b8le27YTlp-iNwffJc63K6RsxpAcDIOdYF6ToVoqzgjTsqCv_0H7eY3lu2TKxYwrRURTKHagXJxTiuDNEsNo44OhxGwtmN5sLWwaaSg1pYUievVove5H6P5K_sRegHcHAEoWdwGiSS5sKXYhgsumm8P__H8Dz2iW-w</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Bentata, Yassamine</creator><creator>Hamdi, F.</creator><creator>Chemlal, A.</creator><creator>Haddiya, I.</creator><creator>Ismaili, N.</creator><creator>El Ouafi, N.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20180301</creationdate><title>Uremic pericarditis in patients with End Stage Renal Disease: Prevalence, symptoms and outcome in 2017</title><author>Bentata, Yassamine ; Hamdi, F. ; Chemlal, A. ; Haddiya, I. ; Ismaili, N. ; El Ouafi, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-5cf35f80b4050b4f4a3f2856a6f099273a79dd857908ae3af526d9f60b9a6d5a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Blood pressure</topic><topic>Catheters</topic><topic>Diabetes</topic><topic>Diagnosis</topic><topic>Dialysis</topic><topic>Effusion</topic><topic>Emergency medical care</topic><topic>ESRD, mortality</topic><topic>Evolution</topic><topic>Fatalities</topic><topic>Heart diseases</topic><topic>Hemodialysis</topic><topic>Kidney diseases</topic><topic>Mortality</topic><topic>Nephrology</topic><topic>Patients</topic><topic>Pericarditis</topic><topic>Prevalence</topic><topic>Prognosis</topic><topic>Renal replacement therapy</topic><topic>Septic shock</topic><topic>Tamponade</topic><topic>Thoracic surgery</topic><topic>Uremia, pericarditis</topic><topic>Viral infections</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bentata, Yassamine</creatorcontrib><creatorcontrib>Hamdi, F.</creatorcontrib><creatorcontrib>Chemlal, A.</creatorcontrib><creatorcontrib>Haddiya, I.</creatorcontrib><creatorcontrib>Ismaili, N.</creatorcontrib><creatorcontrib>El Ouafi, N.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bentata, Yassamine</au><au>Hamdi, F.</au><au>Chemlal, A.</au><au>Haddiya, I.</au><au>Ismaili, N.</au><au>El Ouafi, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Uremic pericarditis in patients with End Stage Renal Disease: Prevalence, symptoms and outcome in 2017</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>36</volume><issue>3</issue><spage>464</spage><epage>466</epage><pages>464-466</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>The prevalence of uremic pericarditis (UP) used to range from 3% to 41%. More recently, it has decreased to about 5%–20% and to <5% in the last decades, as hemodialysis techniques have become widely used and dialysis quality improved. The objective of this work is to determine the initial clinical picture and the prognosis of patients presenting End Stage Renal Disease (ESRD) with UP. Materials: This is a retrospective study (May 2015–September 2017). Inclusion criteria targeted patients who had uremic pericarditis defined as pericarditis occurring in a patient with ESRD before initiation of renal replacement therapy, or within eight weeks of its initiation. Results: 16 patients met the inclusion criteria. The median age of patients was 54 [24, 71] years and 56.2% were male. Pericardial effusion was small, moderate and large in 31.2%, 37.6% and 31.2% of cases respectively. One pericardiocentesis was performed in view of a clinical picture of impending cardiac tamponade and three pericardial drainages were performed given presentation of tamponade. Hemodialysis was initiated for all the patients and continued for 2 to 3weeks until complete regression of the pericardial effusion. The mean number of dialysis sessions was 11±3.5. One patient died of septic shock that developed three weeks after diagnosis of uremic pericarditis. Conclusion: UP is considered a rare but fatal complication of ESRD because of the risk of tamponade and its prognosis remains dependent on early diagnosis and adequate treatment of ESRD.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29248269</pmid><doi>10.1016/j.ajem.2017.11.048</doi><tpages>3</tpages></addata></record> |
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| subjects | Blood pressure Catheters Diabetes Diagnosis Dialysis Effusion Emergency medical care ESRD, mortality Evolution Fatalities Heart diseases Hemodialysis Kidney diseases Mortality Nephrology Patients Pericarditis Prevalence Prognosis Renal replacement therapy Septic shock Tamponade Thoracic surgery Uremia, pericarditis Viral infections |
| title | Uremic pericarditis in patients with End Stage Renal Disease: Prevalence, symptoms and outcome in 2017 |
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