[Long-term sustained low efficiency dialysis in eight patients with class IV NYHA heart failure resistant to high-dose diuretic treatment].
Many of the patients hospitalized for congestive heart failure have concurrent renal failure. Most patients with heart failure present NYHA class III dysfunction, but when the heart failure progresses to NYHA class IV, replacement therapy may be necessary to remove the salt and water overload and mitigate the clinical, prevalently respiration-related symptoms. We report the clinical cases of 8 patients with NYHA class IV heart failure resistant to multidrug treatment and high-dose diuretics who were treated with sustained low efficiency dialysis (SLED). We evaluated the survival rates of the patients, their clinical improvement and cardiac performance. The obtained results suggested that treatment with SLED is the most indicated in NYHA class IV heart failure.
Violi
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U.O. Nefrologia e Dialisi, Ospedale Santa Scolastica, Via S. Pasquale, 03043 Cassino (FR), Italy. uonefro.cassino@libero.it
Nacca
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Iengo
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Iorio
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D000368:Aged; D000369:Aged, 80 and over; D004232:Diuretics / Q000008:administration & dosage*; D004351:Drug Resistance; D005260:Female; D006333:Heart Failure / Q000145:classification / Q000628:therapy*; D006801:Humans; D008297:Male; D006435:Renal Dialysis / Q000379:methods*; D012720:Severity of Illness Index; D013997:Time Factors
D004232:Diuretics