title: [Heart and kidney--only together they are strong. On the cardiorenal and renocardiac syndrome. Case 5/2011].
abstract: METHODS
  We report on two patients with cardiorenal and renocardiac syndrome, respectively, who were treated with peritoneal dialysis.
  
  
  METHODS
  Patient 1 suffered from dilated cardiomyopathy with an ejection fraction of 20%. There was no hint for an intrinsic renal disease, urinalysis showed microalbuminuria at the most. Due to progressive cardiac forward failure kidney dysfunction and diuretic-refractory volume retention developed. Patient 2 was admitted with an uremic syndrome and newly developed atrial fibrillation. Echocardiography revealed a hitherto unknown dilated cardiomyopathy.
  
  
  METHODS
  Both patients were treated with continuous ambulatory peritoneal dialysis. This led to regression of the uremic complications. Sinus rhythm was restored in patient 2 after two weeks and cardiomyopathy was reversed after another 9 months.
  
  
  CONCLUSIONS
  End-stage heart failure results in kidney dysfunction which can progress to a dialysis-dependent state. End-stage renal failure is often accompanied by cardiac dysfunction and failure.
authors.affiliation: Medizinische Klinik, Universitätsklinikum Tübingen.
authors.forename: Ferruh
authors.initials: F
authors.lastname: Artunc
authors.forename: Michael
authors.initials: M
authors.lastname: Haap
authors.forename: Michael
authors.initials: M
authors.lastname: Sayer
authors.forename: Engin
authors.initials: E
authors.lastname: Usta
authors.forename: Sabine
authors.initials: S
authors.lastname: Wolf
authors.forename: Peter
authors.initials: P
authors.lastname: Weyrich
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000503:physiopathology; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis* / Q000503:physiopathology; D004452:Echocardiography; D004562:Electrocardiography; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis* / Q000503:physiopathology; D007676:Kidney Failure, Chronic / Q000175:diagnosis* / Q000503:physiopathology; D008297:Male; D011654:Pulmonary Edema / Q000175:diagnosis / Q000503:physiopathology; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis* / Q000503:physiopathology