Chest pain in the dialysis patient

Roxana Narat, Bernard M. Karnath, Gregory W. Rouan

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Acute pericarditis is common in patients with end-stage renal disease. In these patients, the condition has been classified as uremic- and dialysis- associated pericarditis Diagnosis of pericarditis usually is based on a new pericardial friction rub with or without evidence of an effusion on transthoracic echocardiogram (TTE). A patient may present with changes on electrocardiogram and chest radiograph. Of note, the S-T segment elevations classically seen in acute pericarditis are rare in uremic pericarditis patients. These diagnostic study results, along with clinical status, guide patient management. Treatment consists of intensive hemodialysis, surgery, and pericardiocentesis. Patients should be followed up with serial TTEs.

Original languageEnglish (US)
Pages (from-to)285-288
Number of pages4
JournalAdvanced Studies in Medicine
Volume6
Issue number6
StatePublished - Jun 1 2006

ASJC Scopus subject areas

  • Medicine(all)

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    Narat, R., Karnath, B. M., & Rouan, G. W. (2006). Chest pain in the dialysis patient. Advanced Studies in Medicine, 6(6), 285-288.