Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Knipe H, Uremic pericarditis. Reference article, Radiopaedia.org (Accessed on 14 Oct 2024) https://doi.org/10.53347/rID-179116
Disclosures:
At the time the article was last revised Henry Knipe had the following disclosures:
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Henry Knipe's current disclosures
Uremic pericarditis is form of pericarditis that may occur in patients with a high blood urea nitrogen level.
Uremic pericarditis was more common in the pre-dialysis era but now is occasionally encountered when there is an inadequate removal of uremic toxins.
May be difficult differentiate from other forms of pericarditis without appropriate clinical context. Dependent on imaging modality may show which evidence of pericardial thickening +/- inflammation, a pericardial effusion +/- associated complications such as pericardial constriction.
In some situations pericardial tamponade may occur.
Consider non-uremic dialysis pericarditis.
History and etymology
This condition is thought have originally described by Richard Bright of Guy’s Hospital, London, in 1836 1.
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1. Restrepo D, Vaduganathan M, Fenves A. Uremic Pericarditis: Distinguishing Features in a Now-Uncommon Clinical Syndrome. South Med J. 2018;111(12):754-7. doi:10.14423/SMJ.0000000000000899 - Pubmed
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2. Rehman K, Betancor J, Xu B et al. Uremic Pericarditis, Pericardial Effusion, and Constrictive Pericarditis in End‐stage Renal Disease: Insights and Pathophysiology. Clin Cardiol. 2017;40(10):839-46. doi:10.1002/clc.22770 - Pubmed
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3. Sadjadi S & Mashahdian A. Uremic Pericarditis: A Report of 30 Cases and Review of the Literature. Am J Case Rep. 2015;16:169-73. doi:10.12659/AJCR.893140 - Pubmed
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