Vol 71, No 4 (2013)
Case studies
Published online: 2013-04-18
Diuretic-resistant congestive heart failure treated successfully with peritoneal ultrafiltration
DOI: 10.5603/KP.2013.0067
Kardiol Pol 2013;71(4):393-395.
Abstract
We present a case of successful peritoneal ultrafiltration (pUF) treatment in a 60 year-old patient diagnosed with diuretic-resistant
congestive heart failure fulfilling the criteria for type 2 cardio-renal syndrome. Six months of pUF treatment with one
daily dialysis exchange with icodextrin as an osmotic agent resulted in better functional status (from IV to II/III NYHA class),
quality of life and improvement of haemodynamic parameters measured by impedance cardiography. During the follow-up
(six months), pUF was well tolerated by the patient and he did not require hospitalisation for decompensated heart failure.
congestive heart failure fulfilling the criteria for type 2 cardio-renal syndrome. Six months of pUF treatment with one
daily dialysis exchange with icodextrin as an osmotic agent resulted in better functional status (from IV to II/III NYHA class),
quality of life and improvement of haemodynamic parameters measured by impedance cardiography. During the follow-up
(six months), pUF was well tolerated by the patient and he did not require hospitalisation for decompensated heart failure.
Keywords: peritoneal ultrafiltrationcongestive heart failurediuretic resistance
