Document Detail


Hemofiltration as treatment for patients with refractory heart failure.
MedLine Citation:
PMID:  1499176     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hemofiltration was performed in 15 patients with refractory congestive heart failure. All of these patients had oliguria, although intensive treatment with diuretics, digitalis, vasodilators, and catecholamines was prescribed. Hemofiltration was performed under hemodynamic monitoring in 14 patients. The water removal by hemofiltration decreased pulmonary arterial pressure, pulmonary capillary wedge pressure and right atrial pressure. Despite these hemodynamic improvements, nine patients (60%) died within one month after the start of hemofiltration; the causes were fatal arrhythmia in three, renal failure in two, sepsis in one and irreversible cardiogenic shock in three. Oliguria for over 15 h or a serum creatinine concentration of more than 4.0 mg/dl at the start of hemofiltration related to poor prognosis. In view of these results, hemofiltration for refractory heart failure should be started earlier and performed carefully in order to avoid arrhythmia, cardiogenic shock, and other complications.
Authors:
T Inoue; Y Sakai; S Morooka; K Takayanagi; T Hayashi; Y Takabatake
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  15     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-09-17     Completed Date:  1992-09-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  514-8     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Koshigaya Hospital, Dokkyo University School of Medicine, Saitama, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Combined Modality Therapy
Creatinine / blood
Female
Follow-Up Studies
Furosemide / administration & dosage
Heart Failure / mortality,  physiopathology,  therapy*
Hemodynamics / physiology
Hemofiltration*
Humans
Male
Middle Aged
Oliguria / mortality,  physiopathology,  therapy
Survival Rate
Chemical
Reg. No./Substance:
54-31-9/Furosemide; 60-27-5/Creatinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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