Successful Use of CAPD in Refractory Heart Failure

  • D. Kim
  • R. Khanna
  • G. Wu
  • P. Fountas
  • M. Druck
  • D. G. Oreopoulos

Summary

Four patients with end-stage heart failure, massive ascites refractory to medical intervention, and a variable degree of renal failure were treated successfully with CAPD for 8 to 24 months. The New York Heart Association functional class improved in all four. In two patients, who presented initially with signs and symptoms mainly of right-sided heart failure, ejection fraction improved. Each day dialysis achieved a significant degree of ultrafiltration and a negative sodium balance. We propose that CAPD is an alternative therapeutic modality in patients with severe heart failure refractory to conventional medical treatment.

Keywords

Creatinine Radionuclide Peri Cardiomyopathy Cardiol 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • D. Kim
    • 1
  • R. Khanna
    • 1
  • G. Wu
    • 1
  • P. Fountas
    • 1
  • M. Druck
    • 1
  • D. G. Oreopoulos
    • 1
  1. 1.Divisions of Nephrology and Cardiology, Toronto Western Hospital and the Department of MedicineUniversity of TorontoCanada

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