We investigated the link between uremic cardiomyopathy, QT interval and dispersal, and arrhythmias (by ambulatory ECG monitoring) in patients at different stages of progressive renal disease.

Uremic pericarditis (75% of cases) Most common when the other symptoms of uremia are most severe; BUN is nearly always >60; Loud friction rub that is often palpable; Typical pericarditis ECG changes are absent (inflammation does not involve myocardium) If ECG does have typical changes consider infection; Dialysis-related (25% of cases)

Uraemic Cardiomyopathy (UC) is classically characterised by diastolic dysfunction in association with left ventricular hypertrophy (LVH) and myocardial fibrosis in patients with chronic kidney disease (CKD). 1 Patients with underlying end-stage renal disease (ESRD) and resultant myocardial remodelling often have associated high levels of cardiov...

Uremic pericarditis, the most common manifestation of uremic pericardial disease, is a contemporary problem that calls for intensive hemodialysis, anti‐inflammatories, and often, drainage of large inflammatory pericardial effusions.

Mar 29, 2024 · Identify early signs and symptoms of uremia, including nausea, vomiting, fatigue, altered mentation, and electrolyte imbalances, to facilitate prompt diagnosis and treatment initiation. Implement evidence-based interventions for managing uremia-related complications such as fluid overload, electrolyte imbalances, and metabolic abnormalities.

This case highlights important differences between uremic pericarditis and other prevalent types of acute pericarditis, including the lack of tachycardia during tamponade and normal electrocardiography. Uremic pericarditis is now a less common diagnosis.

We present a case of uremic pericarditis presenting as cardiac tamponade in a patient with stage 3A chronic kidney disease (CKD). CASE PRESENTATION: A 75-year-old female with a history of CKD stage 3A, chronic systolic heart failure, ischemic cardiomyopathy, diabetes mellitus type II, and hypertension presented with altered sensorium and ...

Feb 2, 2016 · Patients with chronic kidney disease and end-stage renal disease are at 5- to 10-fold higher risk for developing cardiovascular disease (CVD) than age-matched controls. Clinically, CVD in this population manifests as coronary artery disease, arrhythmias, stroke, or congestive heart failure.

Jan 1, 2005 · ECG abnormalities (prolonged QT interval, increased QT dispersal, frequency of ectopics and tachyarrhythmias) are more common in patients with advanced renal disease, including transplant recipients, and in patients with uremic cardiomyopathy.

They have a direct effect on the myocardial fiber and determine typical changes in the electrocardiogram. In uremia, especially when it is the result of chronic glomerulonephritis, there is a diminution of the calcium content in the blood (hvpocalcemia) because of retention of …