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Perit Dial Int 5(2): 127-130 1985
© 1985 International Society for Peritoneal Dialysis
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REVIEWS AND ORIGINAL ARTICLES

SUCCESSFUL USE OF CONTINUOUS AMBULATORY PERITONEAL DIALYSIS IN REFRACTORY HEART FAILURE

Donald Kim, Ramesh Khanna, George Wu, Panos Fountas, Maurice Druck and Dimitrios G. Oreopoulos

From the Divisions of Nephrology and Cardiology, Toronto Westrn Hospital and the Department of Medicine, University of Toronto.

Four patients with end-stage heart failure, massive ascites refractory to medical interventions and a variable degree of renal failure were treated successfuly with CAPD for eight 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 the conventional medical treatment.

KEY WORDS: CAPD; Heart failure; Ascites; Ultrafiltration.






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