December 2, 2008The Nephron journals/Nephron journals
Pericarditis in the Patient with Uremia: Clinical and Echocardiographic Evaluation
Key result
In 94 patients with end-stage renal disease and suspected pericarditis, effusions were frequently absent in confirmed cases, but effusion size helped predict the need for operative intervention.
Why the study?
What are the clinical and echocardiographic characteristics, as well as outcomes, of suspected pericarditis in patients with end-stage renal disease?
Population
94 patients with end-stage renal disease evaluated echocardiographically for clinically suspected…
Design
Cohort
Follow-up
4-year period
Authors
Discussion
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Implication
Echocardiographic effusion assessment warrants caution in suspected uremic pericarditis; leaves open prospective validation of size thresholds for intervention.
Study Design
Type
Observational (n=94)
Structured PICO
What are the clinical and echocardiographic characteristics, as well as outcomes, of suspected pericarditis in patients with end-stage renal disease?
P
Population
94 patients with end-stage renal disease and clinically suspected pericarditis evaluated echocardiographically over a 4-year period.
O
Outcome
Clinical diagnosis of pericarditis, presence and size of pericardial effusion, and need for operative intervention.
Echocardiographic evaluation of uremic patients with suspected pericarditis reveals that effusions are often absent in true pericarditis, small effusions are common without pericarditis, and effusion size predicts the need for surgical intervention.
Cite This Study
Luft et al. (2008) conducted an observational in End-stage renal disease with suspected pericarditis (n=94). Clinically suspected pericarditis was evaluated on Presence and size of pericardial effusion and clinical diagnosis of pericarditis. In 94 patients with end-stage renal disease and suspected pericarditis, effusions were frequently absent in confirmed cases, but effusion size helped predict the need for operative intervention.