Refractory congestive heart failure: when the solution is outside the heart
Abstract Refractory congestive heart failure is associated with an ominous prognosis in which the treatments strategies remain scarce and not well validated. In the last years, continuous ambulatory peritoneal dialysis (CAPD) has emerged as a therapeutic alternative in this subset of patients. So fa...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-02-01
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| Series: | ESC Heart Failure |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ehf2.12554 |
| _version_ | 1819076767493652480 |
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| author | Vicente Pernias Miguel González Gema Miñana Jose Luis Górriz Isabel Juan Francisco J. Chorro Juan Sanchis Julio Núñez |
| author_facet | Vicente Pernias Miguel González Gema Miñana Jose Luis Górriz Isabel Juan Francisco J. Chorro Juan Sanchis Julio Núñez |
| author_sort | Vicente Pernias |
| collection | DOAJ |
| description | Abstract Refractory congestive heart failure is associated with an ominous prognosis in which the treatments strategies remain scarce and not well validated. In the last years, continuous ambulatory peritoneal dialysis (CAPD) has emerged as a therapeutic alternative in this subset of patients. So far, it has been associated with a significant improvement in functional capacity and quality of life, together with a striking reduction in the risk of readmissions. We present the case of an elderly patient with severe left ventricular dysfunction and severe mitral and tricuspid regurgitation who presents recurrent admissions for anasarca. After its inclusion in a CAPD programme, the patient experienced a marked clinical and biochemical improvement despite the persistence of cardiac abnormalities. CAPD onset translates into greater sodium removal. We want to emphasize the usefulness of this therapy in the management of volume excess in patients with refractory heart failure and renal failure promoting a greater sodium removal compared with traditional diuretic strategies. |
| first_indexed | 2024-12-21T18:46:32Z |
| format | Article |
| id | doaj.art-d41d825290934ec683b4869deb746cdb |
| institution | Directory Open Access Journal |
| issn | 2055-5822 |
| language | English |
| last_indexed | 2024-12-21T18:46:32Z |
| publishDate | 2020-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj.art-d41d825290934ec683b4869deb746cdb2022-12-21T18:53:52ZengWileyESC Heart Failure2055-58222020-02-017131231510.1002/ehf2.12554Refractory congestive heart failure: when the solution is outside the heartVicente Pernias0Miguel González1Gema Miñana2Jose Luis Górriz3Isabel Juan4Francisco J. Chorro5Juan Sanchis6Julio Núñez7Fundación de Investigacion Hospital Clínico Universitario de Valencia (INCLIVA) Valencia SpainNephrology Department Hospital Clínico Universitario Valencia SpainFundación de Investigacion Hospital Clínico Universitario de Valencia (INCLIVA) Valencia SpainNephrology Department Hospital Clínico Universitario Valencia SpainNephrology Department Hospital Clínico Universitario Valencia SpainFundación de Investigacion Hospital Clínico Universitario de Valencia (INCLIVA) Valencia SpainFundación de Investigacion Hospital Clínico Universitario de Valencia (INCLIVA) Valencia SpainFundación de Investigacion Hospital Clínico Universitario de Valencia (INCLIVA) Valencia SpainAbstract Refractory congestive heart failure is associated with an ominous prognosis in which the treatments strategies remain scarce and not well validated. In the last years, continuous ambulatory peritoneal dialysis (CAPD) has emerged as a therapeutic alternative in this subset of patients. So far, it has been associated with a significant improvement in functional capacity and quality of life, together with a striking reduction in the risk of readmissions. We present the case of an elderly patient with severe left ventricular dysfunction and severe mitral and tricuspid regurgitation who presents recurrent admissions for anasarca. After its inclusion in a CAPD programme, the patient experienced a marked clinical and biochemical improvement despite the persistence of cardiac abnormalities. CAPD onset translates into greater sodium removal. We want to emphasize the usefulness of this therapy in the management of volume excess in patients with refractory heart failure and renal failure promoting a greater sodium removal compared with traditional diuretic strategies.https://doi.org/10.1002/ehf2.12554Peritoneal dialysisRefractory congestive heart failureTreatment |
| spellingShingle | Vicente Pernias Miguel González Gema Miñana Jose Luis Górriz Isabel Juan Francisco J. Chorro Juan Sanchis Julio Núñez Refractory congestive heart failure: when the solution is outside the heart ESC Heart Failure Peritoneal dialysis Refractory congestive heart failure Treatment |
| title | Refractory congestive heart failure: when the solution is outside the heart |
| title_full | Refractory congestive heart failure: when the solution is outside the heart |
| title_fullStr | Refractory congestive heart failure: when the solution is outside the heart |
| title_full_unstemmed | Refractory congestive heart failure: when the solution is outside the heart |
| title_short | Refractory congestive heart failure: when the solution is outside the heart |
| title_sort | refractory congestive heart failure when the solution is outside the heart |
| topic | Peritoneal dialysis Refractory congestive heart failure Treatment |
| url | https://doi.org/10.1002/ehf2.12554 |
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