Uremic pericarditis, pericardial effusion, and constrictive pericarditis in end‐stage renal disease: Insights and pathophysiology

Karim Abdur Rehman; Jorge Betancor; Bo Xu; Arnav Kumar; Carlos Godoy Rivas; Kimi Sato; Leslie P. Wong; Craig R. Asher; Allan L. Klein

doi:10.1002/clc.22770

journal article Sep 05, 2017

Uremic pericarditis, pericardial effusion, and constrictive pericarditis in end‐stage renal disease: Insights and pathophysiology

Karim Abdur Rehman

Jorge Betancor Bo Xu

Arnav Kumar Carlos Godoy Rivas Kimi Sato Leslie P. Wong Craig R. Asher Allan L. Klein

Clinical Cardiology Vol. 40 No. 10 pp. 839-846 · Wiley

View at Publisher Save 10.1002/clc.22770

Abstract

A rising prevalence of end‐stage renal disease (ESRD) has led to a rise in ESRD‐related pericardial syndromes, calling for a better understanding of its pathophysiology, diagnoses, and management. Uremic pericarditis, the most common manifestation of uremic pericardial disease, is a contemporary problem that calls for intensive hemodialysis, anti‐inflammatories, and often, drainage of large inflammatory pericardial effusions. Likewise, asymptomatic pericardial effusions can become large and impact the hemodynamics of patients on chronic hemodialysis. Constrictive pericarditis is also well documented in this population, ultimately resulting in pericardiectomy for definitive treatment. The management of pericardial diseases in ESRD patients involves internists, cardiologists, and nephrologists. Current guidelines lack clarity with respect to the management of pericardial processes in the ESRD population. Our review aims to describe the etiology, classification, clinical manifestations, diagnostic imaging tools, and treatment options of pericardial diseases in this population.

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Details

Published: Sep 05, 2017
Vol/Issue: 40(10)
Pages: 839-846
License: View

Authors

K

Karim Abdur Rehman

Department of Internal Medicine Cleveland Clinic Cleveland Ohio

J

Jorge Betancor