| Peritoneal dialysis as a therapeutic approach in congestive heart failure resistant to pharmacological treatment: case report. | |
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MedLine Citation:
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PMID: 20010472 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Agnieszka Pr?chnicka; Anna Olszowska; Daniel Baczy?ski; Grzegorz Zelichowski; Arkadiusz Lubas; Magdalena Wi?niewska; Miros?aw Dziekiewicz; Zofia Wa?kowicz |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Polskie Archiwum Medycyny Wewn?trznej Volume: 119 ISSN: 1897-9483 ISO Abbreviation: Pol. Arch. Med. Wewn. Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-17 Completed Date: 2010-05-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401225 Medline TA: Pol Arch Med Wewn Country: Poland |
Other Details:
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Languages: eng Pagination: 834-7 Citation Subset: IM |
Affiliation:
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Department of Internal Diseases, Nephrology and Dialysis, Military Medicine Institute, Central Hospital, Ministry of National Defence, Warszawa, Poland. a.borkowska4@wp.pl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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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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