尿毒症及透析相关心包炎

Uremic- and Dialysis-Associated Pericarditis.

作者信息

Chugh Savneek, Singh Jagmeet, Kichloo Asim, Gupta Sanjeev, Katchi Tasleem, Solanki Shantanu

机构信息

From the Department of Medicine, Division of Nephrology, New York Medical College/Westchester Medical Center, Valhalla, NY.

Department of Medicine, Geisinger Commonwealth School of Medicine, Scranton, PA.

出版信息

Cardiol Rev. 2021;29(6):310-313. doi: 10.1097/CRD.0000000000000381.

DOI:10.1097/CRD.0000000000000381

PMID:33337656

Abstract

Uremic pericarditis occurs as a result of inflammation of the pericardium due to toxins and immune complexes in patients with renal disease. The initial clinical manifestations of pericarditis and acute coronary syndrome may be similar, and initial EKG findings may overlap. The management of this disease needs the combined efforts of internists, cardiologists, and nephrologists. Its incidence has been reduced since the introduction of renal replacement therapy. Dialysis continues to be the mainstay of treatment.

摘要

尿毒症性心包炎是由于肾病患者体内毒素和免疫复合物导致心包炎症而发生的。心包炎和急性冠状动脉综合征的初始临床表现可能相似，最初的心电图表现也可能重叠。这种疾病的管理需要内科医生、心脏病专家和肾病专家的共同努力。自从引入肾脏替代治疗后，其发病率已经降低。透析仍然是主要的治疗方法。