Successful Peritoneal Dialysis for the Treatment of Inotrope-Dependent End-Stage Heart Failure
| Autor: | Emiyo Sugiura, Kaoru Dohi, Naoto Kumagai, Eiji Ishikawa, Muneyoshi Tanimura, Masaaki Ito |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Inotrope
medicine.medical_specialty medicine.medical_treatment Cardiomyopathy Hemodynamics Hemodiafiltration 030204 cardiovascular system & hematology Peritoneal dialysis 03 medical and health sciences Electrocardiography 0302 clinical medicine Return to Work Internal medicine medicine Humans Anthracyclines 030212 general & internal medicine Renal replacement therapy Cardiac catheterization Heart Failure Cardio-Renal Syndrome business.industry Biopsy Needle General Medicine Middle Aged medicine.disease Prognosis Immunohistochemistry Echocardiography Doppler Treatment Outcome Heart failure Ambulatory Chronic Disease Cardiology Disease Progression Kidney Failure Chronic Female Cardiology and Cardiovascular Medicine business Peritoneal Dialysis |
| Zdroj: | International heart journal. 60(5) |
| ISSN: | 1349-3299 |
| Popis: | Extra- and/or intracorporeal renal replacement therapy can improve the cardiorenal hemodynamics in patients with advanced heart failure (HF) refractory to medical therapy and renal failure. Here, we report the case of a 51-year-old woman with inotrope-dependent end-stage HF and chronic renal failure due to anthracycline-induced cardiomyopathy, in whom the induction of hemodiafiltration and subsequent chronic peritoneal dialysis (PD) provided a dramatic improvement of her cardiac hemodynamics from restrictive to almost normal physiology assessed by echocardiography and cardiac catheterization. The patient returned to office work with New York Heart Association functional class I-II symptoms for at least 3 years with continuous ambulatory PD after hospital discharge. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|