Peritoneal Dialysis for Heart Failure
#MMPMID26702006
Puttagunta H
; Holt SG
Perit Dial Int
2015[Nov]; 35
(6
): 645-9
PMID26702006
show ga
Heart failure (HF) is a common and important cause of morbidity and mortality in
the elderly, imposing a significant burden on healthcare systems. Better
management of ischemic heart disease has resulted in increased survival and
growth in the number of prevalent heart failure patients, but co-existing renal
impairment complicates management and limits traditional therapeutic options.
Ultrafiltration (UF) techniques have shown promise in the treatment of
diuretic-resistant HF, but the early successes of extracorporeal treatments has
not been confirmed by randomized trials. Peritoneal dialysis (PD) may be cheaper
and provide more effective UF therapy in selected patients and this review
examines the issues surrounding the use of PD for such patients. Whist many
nephrologists are enthusiastic about the use of this technique, making a more
cogent case for PD in this setting for cardiologists is likely to need a combined
strategy of demonstrating improvement in individual cases and further study of
potential medicoeconomic benefits.
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