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© 2020. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Refractory congestive heart failure is associated with an ominous prognosis in which the treatments strategies remain scarce and not well validated. In the last years, continuous ambulatory peritoneal dialysis (CAPD) has emerged as a therapeutic alternative in this subset of patients. So far, it has been associated with a significant improvement in functional capacity and quality of life, together with a striking reduction in the risk of readmissions. We present the case of an elderly patient with severe left ventricular dysfunction and severe mitral and tricuspid regurgitation who presents recurrent admissions for anasarca. After its inclusion in a CAPD programme, the patient experienced a marked clinical and biochemical improvement despite the persistence of cardiac abnormalities. CAPD onset translates into greater sodium removal. We want to emphasize the usefulness of this therapy in the management of volume excess in patients with refractory heart failure and renal failure promoting a greater sodium removal compared with traditional diuretic strategies.

Details

Title
Refractory congestive heart failure: when the solution is outside the heart
Author
Pernias, Vicente 1 ; González, Miguel 2 ; Miñana, Gema 3   VIAFID ORCID Logo  ; Górriz, Jose Luis 4 ; Juan, Isabel 2 ; Chorro, Francisco J. 3 ; Sanchis, Juan 3 ; Núñez, Julio 3   VIAFID ORCID Logo 

 Fundación de Investigacion, Hospital Clínico Universitario de Valencia (INCLIVA), Valencia, Spain 
 Nephrology Department, Hospital Clínico Universitario, Valencia, Spain 
 Fundación de Investigacion, Hospital Clínico Universitario de Valencia (INCLIVA), Valencia, Spain, Cardiology Department, Hospital Clínico Universitario, Valencia, Spain, Departamento de Medicina, Universidad de Valencia, Valencia, Spain, CIBER Cardiovascular, Madrid, Spain 
 Nephrology Department, Hospital Clínico Universitario, Valencia, Spain, Departamento de Medicina, Universidad de Valencia, Valencia, Spain 
Pages
312-315
Section
Case Report
Publication year
2020
Publication date
Feb 1, 2020
Publisher
John Wiley & Sons, Inc.
e-ISSN
20555822
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2379680956
Copyright
© 2020. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.