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Case Reports
. 2021 Oct 27;6(4):103-108.
doi: 10.22551/2019.25.0604.10162. eCollection 2019.

Atrial fibrillation, end-stage renal disease and hemorrhagic pleural-pericarditis

Raluca-Mihaela Leonte  1 , Laurențiu Vladimir Lucaci  1   2 , Cristiana Elena Vlad  3   2 , Andreea Florea  2 , Laura Florea  3   2
Affiliations
Case Reports

Atrial fibrillation, end-stage renal disease and hemorrhagic pleural-pericarditis

Raluca-Mihaela Leonte et al. Arch Clin Cases. .

Abstract

Pericarditis is the most common pericardial disease found in clinical practice, with an incidence of acute pericarditis reported in 27.7 cases per 100,000 subjects per year. Hemodialysis in end stage renal disease (ESRD) is associated with frequent cardiovascular modifications, mostly because of the highly fluctuating levels of potassium, magnesium, ionized calcium, sodium and volume status. The risk of arrhythmias is increased and chronic atrial fibrillation (AF) can be found among approximately 14% of patients. The renal disease combined with arrhythmias increases the risk of systemic thromboembolism but also of bleeding events. Here we present the case of a male patient, with ESRD, recently diagnosed with intradialytic paroxysmal AF for which oral anticoagulation therapy is initiated, but it's early complicated with hemorrhagic pleural-pericarditis.

Keywords: ESRD; atrial fibrillation; hemodialysis; hemorrhagic pleural-pericarditis.

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Conflict of interest statement

The author(s) declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Echocardiography apical 4 chambers and parasternal short axis sections demonstrate circumferential pericardial effusion and compression of the right atrium
Fig. 2
Fig. 2
Echocardiography subcostal and parasternal long axis sections demonstrate pericardial effusion anterior to the right ventricle and posterior to the left ventricle
See this image and copyright information in PMC

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