How is uremic pericarditis treated?

Treatment of uremic pericarditis includes initiation of dialysis if the patient is not on dialysis and intensification of dialysis treatment in a patient who is already on dialysis, and avoidance of systemic anticoagulation because of increased risk of bleeding and pericardial drainage in the event of pre-tamponade or …

What is uremic pericarditis?

Uremic pericarditis is thought to result from inflammation of the visceral and parietal layers of the pericardium by metabolic toxins that accumulate in the body owing to kidney failure.

What is dialysis related pericarditis?

Uremic pericarditis has been arbitrarily defined as pericarditis that develops before or within 8 weeks of initiation of dialysis, while dialysis-associated pericarditis is used to define pericarditis in patients on dialysis for more than 8 weeks.

Can renal failure cause pericarditis?

Pericardial and Myocardial Disease Uremic pericarditis occurs in about 50% of patients with chronic renal failure and is an indication for dialysis. Most effusions do not lead to cardiac tamponade.

Is pericarditis considered a heart condition?

Or the condition may be “chronic,” meaning that it develops over time and may take longer to treat. Both types of pericarditis can disrupt your heart’s normal function. In rare cases, pericarditis can have very serious consequences, possibly leading to abnormal heart rhythm and death.

What virus causes pericarditis?

Causative viruses include coxsackievirus B, echovirus, adenoviruses, influenza A and B viruses, enterovirus, mumps virus, Epstein-Barr virus, human immunodeficiency virus (HIV), herpes simplex virus (HSV) type 1, varicella-zoster virus (VZV), measles virus, parainfluenza virus (PIV) type 2, and respiratory syncytial …

Is pericarditis an urgent indication of dialysis?

The development of pericarditis in a patient with severe acute or chronic renal failure is an absolute indication for intensive dialysis. In most patients, relief of chest pain and reduction in the size of any effusion occurs within 1-2 weeks.

Is the dialysis procedure altered for the patient with pericarditis?

Intensive dialysis therapy is known to be effective in more than 50% of patients. Rutsky et al. reported that 87% of uremic pericarditis patients who underwent dialysis improved within 2 weeks of initiation of treatment, whereas only 53% of dialysis pericarditis patients who received dialysis responded.

What infections cause pericarditis?

The most common bacteria to cause pericarditis are Staphylococcus, Streptococcus, and Pneumococcus. Bacteria can enter the pericardium: through your bloodstream from another infection in the body, such as pneumonia. from an infection in another part of the heart.

Is pericarditis life-threatening?

Pericarditis can range from mild illness that gets better on its own, to a life-threatening condition. Fluid buildup around the heart and poor heart function can complicate the disorder. The outcome is good if pericarditis is treated right away. Most people recover in 2 weeks to 3 months.