Document Detail


Peritoneal dialysis as a therapeutic approach in congestive heart failure resistant to pharmacological treatment: case report.
MedLine Citation:
PMID:  20010472     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 (1 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.
Authors:
Agnieszka Pr?chnicka; Anna Olszowska; Daniel Baczy?ski; Grzegorz Zelichowski; Arkadiusz Lubas; Magdalena Wi?niewska; Miros?aw Dziekiewicz; Zofia Wa?kowicz
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Polskie Archiwum Medycyny Wewn?trznej     Volume:  119     ISSN:  1897-9483     ISO Abbreviation:  Pol. Arch. Med. Wewn.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-17     Completed Date:  2010-05-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401225     Medline TA:  Pol Arch Med Wewn     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  834-7     Citation Subset:  IM    
Affiliation:
Department of Internal Diseases, Nephrology and Dialysis, Military Medicine Institute, Central Hospital, Ministry of National Defence, Warszawa, Poland. a.borkowska4@wp.pl
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MeSH Terms
Descriptor/Qualifier:
Adult
Glucans / administration & dosage*
Glucose / administration & dosage*
Heart Failure / therapy*
Hemodialysis Solutions / administration & dosage*
Humans
Male
Peritoneal Dialysis / methods*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Glucans; 0/Hemodialysis Solutions; 0/icodextrin; 50-99-7/Glucose

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


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