Key result
Elevated right ventricular systolic pressure above 40 mmHg was associated with a higher incidence of new pericardial effusion compared to normal pressure (20% vs. 7%) in patients with end-stage renal disease.
Cohort (n=129)
No
Absolute Event Rate: 20% vs 7%
p-value: p=0.03
May inform effusion surveillance in ESRD with elevated RVSP; hypothesis-generating and requires prospective validation.
Background: Pericardial effusion occurs, in variable extent, in 35% of patients on hemodialysis. Pulmonary hypertension is considered responsible for the generation and maintenance of pericardial effusion, but such association has not been proven in hemodialysis patients.
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A et al. (2017) conducted a cohort in End-stage renal disease (n=129). Right ventricular systolic pressure > 40 mmHg vs. Right ventricular systolic pressure ≤ 40 mmHg was evaluated on Incidence of new pericardial effusion in follow-up TTE (p=0.03). Elevated right ventricular systolic pressure above 40 mmHg was associated with a higher incidence of new pericardial effusion compared to normal pressure (20% vs. 7%) in patients with end-stage renal disease.
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