Effusive‐constrictive pericarditis in a patient with end‐stage renal disease
Journal Title: Journal of Rare Cardiovascular Diseases - Year 2019, Vol 4, Issue 2
Abstract
Renal disease, especially end‐stage renal disease, is associated with possible pericardial involvement. We report the case of a 51‐year‐old patient with a history of end‐stage‐renal disease, currently receiving chronic haemodialysis. The patient was admitted to the ward due decreased exercise tolerance and elevation of inflammatory markers. Features of active exudative‐constrictive pericarditis were detected upon imaging studies (echocardiography, computed tomography). The haemodialysis regimen was intensified and anti‐inflammatory treatment was administered. In the follow‐up examination, the patient presented with improved clinical status and echocardiography revealed a decreased amount of pericardial fluid with no pattern of constriction. The elevation of CRP and evidence of active pericardial inflammation upon contrast enhancement seen in CT may help to identify patients with potentially reversible forms of pericardial con‐ striction. In this group of patients, in addition to intensification of dialysis, anti‐inflammatory therapy should be considered to prevent the need for pericardiectomy. JRCD 2019; 4 (2): 47-50.
Authors and Affiliations
Agnieszka Wojtkowska, Andrzej Tomaszewski, Magdalena Zakościelna Zakościelna, Elżbieta Czekajska-Chehab
Keywords
Related Articles
- EP ID EP629854
- DOI 10.2041/jrcd.vol4no2.350
- Views 82
- Downloads 0
Female patient after correction of tetralogy of Fallot with severe pulmonary regurgitation and significant left-to-right shunt at the ventricular septal level (RCD code: IV-5A2)
Tetralogy of Fallot (ToF) is the most common cyanotic congenital heart disease after 1 year of age. Less than 5% of all patients with uncorrected ToF live beyond the age of 40 years. Prognosis after surgical correction i...
Highlights from EuroEcho-Imaging 2016 Congress of the European Society of Cardiology, Leipzig, Germany.
EuroEcho-Imaging is the annual meeting of the European Association of Cardiovascular Imaging (EACVI), that attracts participants from all over the world with all modalities of cardiovascular non-invasive imaging. This ti...
Apical hypertrophic cardiomyopathy in an adult (RCD code: III-2A)
Apical hypertrophic cardiomyopathy (AHC) is a less common type of hypertrophic cardiomyopathy (HCM). It is characterized by typical changes in ECG (deeply inverted T waves that can mimic acute coronary syndrome), echocar...
Wunderlich’s syndrome associated with anticoa gulant treatment, heart failure, and post‐radiation vasculopathy
Background: Wunderlich’s syndrome (WS) is an extremely rare condition, characterised by spontaneous haemorrhage into the subcapsular, perirenal, and retroperitoneal spaces. The most common cause is renal angiomyolipoma....
JRCD in the European Heart Journal
We present to you the fourth and final issue of Journalof Rare Cardiovascular Diseases (JRCD) for 2017.