Uremic pericarditis history and symptoms

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Uremic pericarditis Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Uremic Pericarditis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

Echocardiography

CT

MRI

Cardiac Catheterization

Treatment

Overview

Medical Therapy

Pericardiocentesis

Pericardial window

Pericardiectomy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]

Overview

Patients with pericarditis commonly present with chest pain that changes with position, cough, fever, breathlessness, and fatigue are the other common symptoms. Less common symptoms include palpitations, hiccup, odynophagia, faint, dizziness, and abdominal pain which is seen mostly in children.

History and Symptoms

  • The majority of patients with uremic pericarditis are asymptomatic due to its slow progression.
  • The hallmark of uremic pericarditis is chest pain which worsens on leaning forward and inspiration. A positive history of End-stage renal disease , chest pain and fever of unknown origin is suggestive of uremic pericarditis. The most common symptoms of uremic pericarditis include chest pain which worsens on leaning forward and inspiration.

History

Patients with uremic pericarditis may have a positive history of:[1]

Common Symptoms

Common symptoms of pericarditis include:[2][3][4][5][6][1]

Less Common Symptoms

Less symptoms of pericarditis include:[7][8]

Rapidity of Symptom Onset

Uremic pericarditis develops more slowly and can be undetectable until it presents as a fever of unknown origin.[9][10]

References

  1. 1.0 1.1 Banerjee A, Davenport A (2006). "Changing patterns of pericardial disease in patients with end-stage renal disease". Hemodial Int. 10 (3): 249–55. doi:10.1111/j.1542-4758.2006.00104.x. PMID 16805885.
  2. Klein, Allan L.; Abbara, Suhny; Agler, Deborah A.; Appleton, Christopher P.; Asher, Craig R.; Hoit, Brian; Hung, Judy; Garcia, Mario J.; Kronzon, Itzhak; Oh, Jae K.; Rodriguez, E. Rene; Schaff, Hartzell V.; Schoenhagen, Paul; Tan, Carmela D.; White, Richard D. (2013). "American Society of Echocardiography Clinical Recommendations for Multimodality Cardiovascular Imaging of Patients with Pericardial Disease". Journal of the American Society of Echocardiography. 26 (9): 965–1012.e15. doi:10.1016/j.echo.2013.06.023. ISSN 0894-7317.
  3. Imazio, Massimo (2012). "Contemporary management of pericardial diseases". Current Opinion in Cardiology. 27 (3): 308–317. doi:10.1097/HCO.0b013e3283524fbe. ISSN 0268-4705.
  4. Imazio, Massimo; Gaita, Fiorenzo (2015). "Diagnosis and treatment of pericarditis". Heart. 101 (14): 1159–1168. doi:10.1136/heartjnl-2014-306362. ISSN 1355-6037.
  5. Imazio, M. (2011). "Pericardial involvement in systemic inflammatory diseases". Heart. 97 (22): 1882–1892. doi:10.1136/heartjnl-2011-300054. ISSN 1355-6037.
  6. Imazio, Massimo; Brucato, Antonio; Maestroni, Silvia; Cumetti, Davide; Belli, Riccardo; Trinchero, Rita; Adler, Yehuda (2011). "Risk of Constrictive Pericarditis After Acute Pericarditis". Circulation. 124 (11): 1270–1275. doi:10.1161/CIRCULATIONAHA.111.018580. ISSN 0009-7322.
  7. Doctor NS, Shah AB, Coplan N, Kronzon I (2017). "Acute Pericarditis". Prog Cardiovasc Dis. 59 (4): 349–359. doi:10.1016/j.pcad.2016.12.001. PMID 27956197.
  8. Soler-Soler J, Permanyer-Miralda G, Sagristà-Sauleda J (1990). "A systematic diagnostic approach to primary acute pericardial disease. The Barcelona experience". Cardiol Clin. 8 (4): 609–20. PMID 2249215.
  9. Comty, Christina M. (1971). "Pericarditis in Chronic Uremia and Its Sequels". Annals of Internal Medicine. 75 (2): 173. doi:10.7326/0003-4819-75-2-173. ISSN 0003-4819.
  10. Imazio, Massimo; Trinchero, Rita (2007). "Triage and management of acute pericarditis". International Journal of Cardiology. 118 (3): 286–294. doi:10.1016/j.ijcard.2006.07.100. ISSN 0167-5273.

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