Peritoneal dialysis as a therapeutic approach in congestive heart failure resistant to pharmacological treatment: case report.
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.
Próchnicka
Agnieszka
A
Department of Internal Diseases, Nephrology and Dialysis, Military Medicine Institute, Central Hospital, Ministry of National Defence, Warszawa, Poland. a.borkowska4@wp.pl
Olszowska
Anna
A
Baczyński
Daniel
D
Zelichowski
Grzegorz
G
Lubas
Arkadiusz
A
Wiśniewska
Magdalena
M
Dziekiewicz
Mirosław
M
Wańkowicz
Zofia
Z
D000328:Adult; D005936:Glucans / Q000008:administration & dosage*; D005947:Glucose / Q000008:administration & dosage*; D006333:Heart Failure / Q000628:therapy*; D015312:Hemodialysis Solutions / Q000008:administration & dosage*; D006801:Humans; D000077607:Icodextrin; D008297:Male; D010530:Peritoneal Dialysis / Q000379:methods*; D016896:Treatment Outcome
D005936:Glucans; D015312:Hemodialysis Solutions; D000077607:Icodextrin; D005947:Glucose