Successful Use of CAPD in Refractory Heart Failure
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.
KeywordsPeritoneal Dialysis Continuous Ambulatory Peritoneal Dialysis York Heart Association Functional Class Refractory Heart Failure Toronto Western Hospital
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