The Art of Ultrafiltration, from Pump to Peritoneum

被引:2
作者
Belal, Amer [1 ]
Kazory, Amir [1 ]
机构
[1] Univ Florida, Div Nephrol Hypertens & Renal Transplantat, Gainesville, FL 32611 USA
关键词
Heart failure; Ultrafiltration; Peritoneal dialysis; Cardiorenal syndrome; CONGESTIVE-HEART-FAILURE; INTRAVENOUS DIURETICS; SINGLE-CENTER; USUAL CARE; DIALYSIS; KIDNEY; HF; HOSPITALIZATION; MANAGEMENT; RATIONALE;
D O I
10.1159/000541931
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Heart failure remains a significant public health burden given its prevalence, morbidity, mortality as well its untoward fi nancial consequences. Summary: The assessment of congestion and its treatment are integral in heart failure pathophysiology and outcomes. Renal venous congestion and its suboptimal response to diuretic-based and novel pharmacological therapeutic regimens have thus positioned ultrafiltration as a promising therapeutic option for patients with acute de- compensated heart failure. As a corollary, peritoneal dialysis has had success establishing itself as a relevant therapeutic option for chronic cardiorenal syndrome in patients with heart failure. Key Messages: Herein, we will discuss the pathophysiologic basis of ultrafiltration and peritoneal dialysis in heart failure with a review of the relevant clinical trials on safety and efficacy profiles in these patient populations. (c) 2024 The Author(s). Published by S. Karger AG, Basel
引用
收藏
页码:588 / 599
页数:12
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