Abstract
he occurrence of pericarditis has been recognized as an ominous prognostic manifestation of uremia, but only within the last T decade has cardiac tamponade been recognized as a lethal complication of uremic pericarditis. The introduction of regular intermittent dialysis and increased success in renal homotransplantation have necessitated a change in attitude toward uremic pericarditis. It now can be regarded as another manifestation of uremia which can be expected to improve with adequate therapy. The most hazardous feature of uremic pericarditis is cardiac tamponade, and this too is amenable to appropriate treatment. During the past five years we have encountered at the Vanderbilt University Medical Center 9 uremic patients in whom cardiac tamponade occurred as a result of pericarditis. This is a report of our experience in managing this aspect of renal failure.
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