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Keimyung Medical Journal 2016;35(1):25-29.
Published online June 22, 2016.
Uremic Pericarditis Accompanying Cardiac Tamponade after Emergency Hemodialysis.
Ha Yeun Park, Seong Sik Kang, Yae Rim Kim, O Hyun Kwon, Kyu Bok Jin, Seung Yeup Han, Sung Bae Park, Woo Yeong Park
Department of Internal Medicine, Keimyung University School of Medicine, Keimyung University Kidney Institute, Daegu, Korea.
Although the incidence of uremic pericarditis was high in the past, it has decreased in recent decades with early and appropriate dialysis. However, cardiac tamponade caused by uremic pericarditis is still a life-threatening emergency and it requires urgent management. Herein we report a case of 38-year-old man with chronic renal disease who represented critical uremic pericarditis followed by cardiac tamponade despite of appropriate hemodialysis. Careful consideration of risk factors and aggressive treatment are very important for effective and safe treatment of uremic pericarditis and cardiac tamponade.
Key Words: Cardiac tamponade, Pericardial effusion, Pericardiocentesis, Renal replacement therapy, Uremi
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