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Cardiac Tamponade Risk Associated With Anticoagulation for Atrial Fibrillation in Dialysis-Associated Pericarditis: A Case Report

Heparin is a preferred initial anticoagulant in patients with new-onset atrial fibrillation (AF). Despite continuous debate about the risk, there has been a concern about heparin-induced hemorrhagic pericarditis and cardiac tamponade. We present a case of a new onset atrial fibrillation (AF) in a pa...

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Autores principales: Abu-Abaa, Mohammad, Hassan, Mohamed, Mousa, Aliaa, Arshad, Hassaan, Shah, Samir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10267883/
https://www.ncbi.nlm.nih.gov/pubmed/37323359
http://dx.doi.org/10.7759/cureus.39072
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author Abu-Abaa, Mohammad
Hassan, Mohamed
Mousa, Aliaa
Arshad, Hassaan
Shah, Samir
author_facet Abu-Abaa, Mohammad
Hassan, Mohamed
Mousa, Aliaa
Arshad, Hassaan
Shah, Samir
author_sort Abu-Abaa, Mohammad
collection PubMed
description Heparin is a preferred initial anticoagulant in patients with new-onset atrial fibrillation (AF). Despite continuous debate about the risk, there has been a concern about heparin-induced hemorrhagic pericarditis and cardiac tamponade. We present a case of a new onset atrial fibrillation (AF) in a patient with renal impairment and evidence of pericardial effusion complicated by hemopericardium development after starting anticoagulation. Although the risk of hemorrhagic conversion of uremic pericarditis induced by heparin in ESRD patients with new onset AF was suggested in the literature, this case raises the possibility of a similar complication in dialysis-associated pericarditis. Therefore, we aim to heighten alertness regarding this potential complication of a commonly used medication in clinical practice. We also aim to review the current anticoagulation recommendations in this setting.
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spelling pubmed-102678832023-06-15 Cardiac Tamponade Risk Associated With Anticoagulation for Atrial Fibrillation in Dialysis-Associated Pericarditis: A Case Report Abu-Abaa, Mohammad Hassan, Mohamed Mousa, Aliaa Arshad, Hassaan Shah, Samir Cureus Cardiology Heparin is a preferred initial anticoagulant in patients with new-onset atrial fibrillation (AF). Despite continuous debate about the risk, there has been a concern about heparin-induced hemorrhagic pericarditis and cardiac tamponade. We present a case of a new onset atrial fibrillation (AF) in a patient with renal impairment and evidence of pericardial effusion complicated by hemopericardium development after starting anticoagulation. Although the risk of hemorrhagic conversion of uremic pericarditis induced by heparin in ESRD patients with new onset AF was suggested in the literature, this case raises the possibility of a similar complication in dialysis-associated pericarditis. Therefore, we aim to heighten alertness regarding this potential complication of a commonly used medication in clinical practice. We also aim to review the current anticoagulation recommendations in this setting. Cureus 2023-05-16 /pmc/articles/PMC10267883/ /pubmed/37323359 http://dx.doi.org/10.7759/cureus.39072 Text en Copyright © 2023, Abu-Abaa et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Abu-Abaa, Mohammad
Hassan, Mohamed
Mousa, Aliaa
Arshad, Hassaan
Shah, Samir
Cardiac Tamponade Risk Associated With Anticoagulation for Atrial Fibrillation in Dialysis-Associated Pericarditis: A Case Report
title Cardiac Tamponade Risk Associated With Anticoagulation for Atrial Fibrillation in Dialysis-Associated Pericarditis: A Case Report
title_full Cardiac Tamponade Risk Associated With Anticoagulation for Atrial Fibrillation in Dialysis-Associated Pericarditis: A Case Report
title_fullStr Cardiac Tamponade Risk Associated With Anticoagulation for Atrial Fibrillation in Dialysis-Associated Pericarditis: A Case Report
title_full_unstemmed Cardiac Tamponade Risk Associated With Anticoagulation for Atrial Fibrillation in Dialysis-Associated Pericarditis: A Case Report
title_short Cardiac Tamponade Risk Associated With Anticoagulation for Atrial Fibrillation in Dialysis-Associated Pericarditis: A Case Report
title_sort cardiac tamponade risk associated with anticoagulation for atrial fibrillation in dialysis-associated pericarditis: a case report
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10267883/
https://www.ncbi.nlm.nih.gov/pubmed/37323359
http://dx.doi.org/10.7759/cureus.39072
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