Continuous ambulatory peritoneal dialysis in a diabetic patient with renal insufficiency and ventricular aneurysm.
A diabetic patient with renal insufficiency and a giant ventricular aneurysm was treated by continuous ambulatory peritoneal dialysis (CAPD). No apparent exacerbation of the patient's cardiovascular function was observed after starting CAPD therapy, although his ejection fraction remained low and his angina attacks persisted. It is suggested that CAPD therapy has no deleterious effects on the cardiovascular system of patients with ventricular aneurysms, and that the benefits outweigh the risks.
Miura
M
M
Department of Internal Medicine, School of Medicine, Tokai University, Kanagawa, Japan.
Suga
T
T
Nakajima
K
K
Matsumoto
Y
Y
Miyazaki
M
M
Eguchi
K
K
Yagame
M
M
Endoh
M
M
Nomoto
Y
Y
Sakai
H
H
D000787:Angina Pectoris / Q000150:complications; D003323:Coronary Aneurysm / Q000150:complications* / Q000503:physiopathology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D006352:Heart Ventricles; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D013318:Stroke Volume