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Uremic pericarditis epidemiology and demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.

Epidemiology and Demographics

Pericarditis in renal failure occurs in approximately in 13 percent of patients who are on maintenance hemodialysis[1]. Hyperurcemia due to inadequate dialysis or fluid overload may be the reason for pericarditis[2].

Uremic pericarditis can occur as a serous or a hemorrhagic effusion with considerable overlapping. Hemorrhagic effusions are more common secondary to uremia induced platelet dysfunction and the use of anticoagulation during hemodialysis.

Dialysis associated pericarditis may also be secondary to bacterial or viral infections[3].

References

  1. Rutsky EA, Rostand SG (1987). “Treatment of uremic pericarditis and pericardial effusion”. Am J Kidney Dis. 10 (1): 2–8. PMID 3605080.
  2. Lundin, AP. Recurrent uremic pericarditis: A marker of inadequate dialysis. Semin Dial 1990; 3:5.
  3. Gunukula SR, Spodick DH (2001). “Pericardial disease in renal patients”. Semin Nephrol. 21 (1): 52–6. PMID 11172559.


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