title: Diuretic-resistant congestive heart failure treated successfully with peritoneal ultrafiltration.
abstract: We present a case of successful peritoneal ultrafiltration (pUF) treatment in a 60 year-old patient diagnosed with diuretic-resistant congestive heart failure fulfilling the criteria for type 2 cardio-renal syndrome. Six months of pUF treatment with one daily dialysis exchange with icodextrin as an osmotic agent resulted in better functional status (from IV to II/III NYHA class), quality of life and improvement of haemodynamic parameters measured by impedance cardiography. During the follow-up (six months), pUF was well tolerated by the patient and he did not require hospitalisation for decompensated heart failure.
authors.affiliation: Department of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine, Warsaw, Poland. aprochnicka@wim.mil.pl
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Próchnicka
authors.forename: Paweł
authors.initials: P
authors.lastname: Krzesiński
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Hałas
authors.forename: Mirosław
authors.initials: M
authors.lastname: Dziuk
authors.forename: Stanisław
authors.initials: S
authors.lastname: Niemczyk
authors.forename: Zofia
authors.initials: Z
authors.lastname: Wańkowicz
mesh_terms: D004232:Diuretics / Q000627:therapeutic use; D004351:Drug Resistance; D005936:Glucans / Q000627:therapeutic use*; D005947:Glucose / Q000627:therapeutic use*; D006333:Heart Failure / Q000628:therapy*; D017583:Hemodiafiltration / Q000379:methods*; D015312:Hemodialysis Solutions / Q000627:therapeutic use*; D006801:Humans; D000077607:Icodextrin; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000379:methods*
chemical_list: D004232:Diuretics; D005936:Glucans; D015312:Hemodialysis Solutions; D000077607:Icodextrin; D005947:Glucose