Pericardial syndromes in nephrologist’s practice

Modern approaches to management of pericardial diseases in the context of new version of ESC Guidelines are presented. The necessity for understanding of syndromic approach to pericardial lesions in nephrology practice is emphasized. Pathophysiological mechanism of the pericardial syndromes (PS) formation regardless of etiology of pathological process are briefly presented. The main clinical and instrumental features of different pericardial lesions are described in the context of syndromic approach: inflammatory pericardial syndrome, effusive pericardial syndrome (EPS), constrictive pericardial syndrome (CPS) and effusive-constrictive pericardial syndrome (ECPS). Three medical cases related to different PS which seriously complicated the clinical course of kidney diseases are described in detail. In the first case up to date diagnosis of EPS prevented cardiac tamponade in a patient on program hemodialysis. In the second case the detection of CPS resulted in successful pericardiectomy and complete restoration of renal transplant function. The third case underscore the importance of ECPS diagnostics as a cause of acute renal failure. Described clinical cases are demonstrating approaches to integral evaluation of different critical conditions in urgent nephrology based on cardiorenal interaction.

воспалительный перикардиальный синдром, экссудативный перикардиальный синдром, констриктивный перикардиальный синдром, экссудативно-констриктивный перикардиальный синдром, компрессия сердца, междисциплинарный подход, inflammatory pericardial syndrome, effusive pericardial syndrome, constrictive pericardial syndrome, effusive-constrictive pericardial syndrome, compression of the heart, interdisciplinary approaches

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