The usefulness of body composition monitoring in the volume status assessment in peritoneal dialysis patients
Abstract
Dialysis patients are in approximately seven times higher mortality risk comparing to general population. The main cause of death are cardiovascular diseases. Hypervolemia is one of major cardiovascular disease risk factors. The progressive impair renal function leads to volume overload and then to peripheral oedema, pulmonary oedema, hypertension, left ventricular hyperthrophy and cardiovascular complications. The assessment of volume status and maintenance of euvolemia in patients with chronic kidney disease, especially in those with end-stage kidney disease, when the residual diuresis is reduced, is the main challenge of nephrologist’s daily practice. Beside the particular deviations in clinical examination there are some other methods to evaluate the volume status. One of them is the body composition monitoring (BCM) based on bioimpedance spectroscopy. The presented case report exhibits usefulness of BCM in the volume status evaluation in peritoneal dialysis patient with advanced heart failure.