Peritoneal dialysis as a therapeutic approach in congestive heart failure resistant to pharmacological treatment

被引：3

作者：

Prochnicka, Agnieszka ^{[1
]}

Olszowska, Anna ^{[1
]}

Baczynski, Daniel ^{[1
]}

Zelichowski, Grzegorz ^{[1
]}

Lubas, Arkadiusz ^{[1
]}

Wisniewska, Magdalena ^{[1
]}

Dziekiewicz, Miroslaw ^{[2
]}

Wankowicz, Zofia ^{[1
]}

机构：

[1] Cent Hosp, Minist Natl Def, Mil Med Inst, Dept Internal Dis Nephrol & Dialysis, Warsaw, Poland

[2] Cent Hosp, Minist Natl Def, Mil Med Inst, Dept Gen Oncol & Vasc Surg, Warsaw, Poland

来源：

POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ-POLISH ARCHIVES OF INTERNAL MEDICINE | 2009年 / 119卷 / 12期

关键词：

congestive heart failure; peritoneal dialysis; peritoneal ultrafiltration;

D O I：

10.20452/pamw.859

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This report describes the use of continuous peritoneal dialysis (PD) as an alternative to hemodialysis (HD) in a patient with type 2 cardiorenal syndrome in the course of congestive heart failure resistant to standard pharmacological treatment. A 39-year-old man presented with a 24-year history of progressive heart failure. Ineligibility for heart transplant and previous inefficient treatment with different modifications of HD reduced his treatment options to PD. After 7 months of continuous PD (I overnight exchange with icodextrin and 2 daily standard continuous ambulatory PD exchanges) his overall condition significantly improved compared with his status while on HD. An increase from NYHA class IV to class II, increase in left ventricular ejection fraction from 50% to 55%, decrease in right ventricular systolic pressure from 73 to 53 mmHg, and improvement in the quality of life enabled him to resume his daily activities.

引用

页码：834 / 837

页数：4

共 10 条

[1] Basile C, 2009, PERITON DIALYSIS INT, V29, P116
[2] Bertoli Silvio V, 2005, Adv Perit Dial, V21, P123
[3] Díez Ojea B, 2007, NEFROLOGIA, V27, P605
[4] Gotloib L, 2005, Nephrol Dial Transplant, V20, pi32
[5] Contemporary trends in the pharmacological and extracorporeal management of heart failure - A nephrologic perspective
Kazory, Amir
Ross, Edward A.
[J]. CIRCULATION, 2008, 117 (07) : 975 - 983
[6] Próchnicka A, 2009, POL ARCH MED WEWN, V119, P815, DOI 10.20452/pamw.851
[7] Cardiorenal Syndrome
Ronco, Claudio
Haapio, Mikko
House, Andrew A.
Anavekar, Nagesh
Bellomo, Rinaldo
[J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 52 (19) : 1527 - 1539
[8] Peritoneal ultrafiltration and treatment-resistant heart failure
Ryckelynck, JP
Lobbedez, T
Valette, B
Le Goff, C
Mazouz, O
Levaltier, B
Potier, JC
de Ligny, BH
[J]. NEPHROLOGY DIALYSIS TRANSPLANTATION, 1998, 13 : 56 - 59
[9] SHNEIERSON SJ, 1949, AM J MED SCI, V218, P76
[10] Takane Hiroshi, 2006, Adv Perit Dial, V22, P141

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