Peritoneal Dialysis for Chronic Congestive Heart Failure

被引：38
|
作者：
Francois, Karlien [1 ,2 ]
Ronco, Claudio [3 ]
Bargman, Joanne M. [1 ]
机构：
[1] Univ Toronto, Toronto Gen Hosp, Univ Hlth Network, Div Nephrol, Toronto, ON M5G 1L7, Canada
[2] Vrije Univ Brussel, Univ Ziekenhuis Brussel, Div Nephrol, Brussels, Belgium
[3] San Bortolo Hosp, Int Renal Res Inst Vicenza, Dept Nephrol Dialysis & Transplantat, Vicenza, Italy
来源：
BLOOD PURIFICATION | 2015年 / 40卷 / 01期
关键词：
Peritoneal dialysis; Congestive heart failure; Cardiorenal syndrome; Diuretic-resistance; LEFT-VENTRICULAR DYSFUNCTION; RESIDUAL RENAL-FUNCTION; CHRONIC KIDNEY-DISEASE; CARDIORENAL SYNDROME; CARDIAC-FAILURE; INTRAABDOMINAL PRESSURE; CARDIOVASCULAR-DISEASE; HOSPITALIZED-PATIENTS; ULTRAFILTRATION; MORTALITY;
D O I：
10.1159/000430084
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Maladaptive responses between a failing heart and the kidneys ultimately lead to permanent chronic kidney disease, referred to as cardiorenal syndrome type 2. In this narrative review, we discuss the pathophysiological pathways in the progression of cardiorenal failure and review the current evidence on peritoneal dialysis as a treatment strategy in cardiorenal syndrome type 2. A patient with heart failure can present with clinical symptoms related to venous congestion even in the absence of end-stage renal disease. Diuretics remain the cornerstone for the treatment of fluid overload related to heart failure. However, with chronic use, diuretic resistance can supervene. When medical therapy is no longer able to relieve congestive symptoms, ultrafiltration might be needed. Patients with heart failure tolerate well the gentle rate of fluid removal through peritoneal dialysis. Recent publications suggest a positive impact of starting peritoneal dialysis in patients with cardiorenal syndrome type 2 on the hospitalisation rate, functional status and quality of life. (C) 2015 S. Karger AG, Basel
引用
收藏
页码：45 / 52
页数：8
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