PMID- 9360658
OWN - NLM
STAT- MEDLINE
DCOM- 19980121
LR  - 20071115
IS  - 1197-8554 (Print)
IS  - 1197-8554 (Linking)
VI  - 13
DP  - 1997
TI  - Peritoneal ultrafiltration and refractory congestive heart failure.
PG  - 93-7
AB  - This prospective nonrandomized study enrolled 16 patients with congestive heart 
      failure [NYHA (New York Heart Association) III and IV] refractory to a maximal 
      well-tolerated drug therapy. The aims were to evaluate if peritoneal 
      ultrafiltration (PUF) could improve clinical conditions and to determine 
      morbidity secondary to resistant congestive heart failure (RCHF) and PUF. There 
      were 16 patients (12 male, 4 female) with a mean age of 65.4 years (56-81 years) 
      and follow-up of 15.6 months (4-33 months). Thirteen patients had RCHF without 
      end-stage renal disease. Patients were classified as NYHA class IV (n = 11) or 
      class III (n = 5). One anuric patient had been on previous hemodialysis and 
      switched to APD. PUF was obtained with a 2-L hypertonic dialysis solution, once a 
      day (n = 7) or every 2 days (n = 4). Clinical improvement was obtained for all 
      the patients. Weight decreased from 72.2 to 66.7 kg with a weekly ultrafiltration 
      of 3.74 L (2.2-6.5 L). Sodium removal was 79 mmol/day (urinary 43%, peritoneal 
      transport 57%). During the follow-up period, 2 patients received a cardiac 
      transplant since 7 died due to cardiac reasons. Mean hospitalization time was 4.4 
      and 1.20 per patient per day before and after PUF, respectively. Hospitalization 
      was in keeping with either RCHF (36%), dialysis complications (16%), or 
      miscellaneous causes (48%). Our experience showed that a functional improvement 
      and a better quality of life were achieved for all these patients with a low rate 
      of hospitalization.
FAU - Ryckelynck, J P
AU  - Ryckelynck JP
AD  - Division of Nephrology, Dialysis, Renal Transplantation, Clemenceau University 
      Hospital, Caen, France.
FAU - Lobbedez, T
AU  - Lobbedez T
FAU - Valette, B
AU  - Valette B
FAU - Le Goff, C
AU  - Le Goff C
FAU - Mazouz, O
AU  - Mazouz O
FAU - Levaltier, B
AU  - Levaltier B
FAU - Potier, J C
AU  - Potier JC
FAU - Hurault de Ligny, B
AU  - Hurault de Ligny B
LA  - eng
PT  - Journal Article
PL  - Canada
TA  - Adv Perit Dial
JT  - Advances in peritoneal dialysis. Conference on Peritoneal Dialysis
JID - 9104803
RN  - 0 (Dialysis Solutions)
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Dialysis Solutions
MH  - Female
MH  - Heart Failure/*therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Peritoneal Dialysis/methods
MH  - Prospective Studies
MH  - Treatment Outcome
MH  - Ultrafiltration
EDAT- 1997/01/01 00:00
MHDA- 1997/11/14 00:01
CRDT- 1997/01/01 00:00
PHST- 1997/01/01 00:00 [pubmed]
PHST- 1997/11/14 00:01 [medline]
PHST- 1997/01/01 00:00 [entrez]
PST - ppublish
SO  - Adv Perit Dial. 1997;13:93-7.