| Theme | Heart and it's Diseases in Dialysis Patients -- For their better longevity | |
|---|---|---|
| Title | Uremic pericarditis | |
| Publish Date | 2010/05 | |
| Author | Kaoru Tabei | Division of Nephrology, First Integrated Medicine, Saitama Medical Center, Jichi Medical University |
| [ Summary ] | To diagnose uremic pericarditis, infectious pericarditis or seroitis induced by collagen disease, peritonitis carcinomatosa should be excluded. Uremic pericarditis is easily diagnosed with echocardiography. Uremic pericarditis is treatable by employing appropriate dialysis, such as the use of high performance membranes, frequent dialysis, longer dialysis, and high blood flow dialysis. Improvements in nutritional states and anemia are also helpful. Appropriate dry weight determinations are also important. Cardiac tamponade and constrictive pericarditis may sometimes be complicated by inappropriate treatment. When right heart failure is not improved by appropriate dialysis, surgical approachs, such as pericardiothentesis or pericardectomy may be considered. |
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