Key result
Hemodiafiltration followed by chronic peritoneal dialysis dramatically improved cardiac hemodynamics and symptoms in a patient with inotrope-dependent end-stage heart failure and renal failure.
Why the study?
Does peritoneal dialysis improve cardiac hemodynamics and symptoms in a patient with inotrope-dependent end-stage heart failure and chronic renal failure?
Case Report (n=1)
Does peritoneal dialysis improve cardiac hemodynamics and symptoms in a patient with inotrope-dependent end-stage heart failure and chronic renal failure?
Peritoneal dialysis can dramatically improve cardiac hemodynamics and symptoms in patients with inotrope-dependent end-stage heart failure and chronic renal failure.
May support peritoneal dialysis consideration in select inotrope-dependent cardiorenal cases; leaves open efficacy confirmation in prospective studies.
Extra- and/or intracorporeal renal replacement therapy can improve the cardiorenal hemodynamics in patients with advanced heart failure (HF) refractory to medical therapy and renal failure. Here, we report the case of a 51-year-old woman with inotrope-dependent end-stage HF and chronic renal failure due to anthracycline-induced cardiomyopathy, in whom the induction of hemodiafiltration and subsequent chronic peritoneal dialysis (PD) provided a dramatic improvement of her cardiac hemodynamics from restrictive to almost normal physiology assessed by echocardiography and cardiac catheterization. The patient returned to office work with New York Heart Association functional class I-II symptoms for at least 3 years with continuous ambulatory PD after hospital discharge.
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Sugiura et al. (2019) conducted a case report in Inotrope-dependent end-stage heart failure and chronic renal failure (n=1). Hemodiafiltration and chronic peritoneal dialysis was evaluated on Cardiac hemodynamics and NYHA functional class. Hemodiafiltration followed by chronic peritoneal dialysis dramatically improved cardiac hemodynamics and symptoms in a patient with inotrope-dependent end-stage heart failure and renal failure.
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