Why the study?
Does continuous veno-venous haemofiltration improve fluid retention in severe peripartum cardiomyopathy refractory to conventional treatment?
Does continuous veno-venous haemofiltration improve fluid retention in severe peripartum cardiomyopathy refractory to conventional treatment?
Continuous veno-venous haemofiltration can be an effective rescue therapy for profound fluid retention in severe peripartum cardiomyopathy refractory to diuretics and inotropes.
May support haemofiltration rescue in refractory peripartum cardiomyopathy fluid overload; single case leaves open need for prospective trials.
The use of continuous veno-venous haemofiltration after failure of conventional treatment in a patient with severe peripartum cardiomyopathy is described. Treatment with inotropes and diuretics failed to produce a diuresis despite the presence of severe fluid overload. Haemofiltration over a 9-day period allowed removal of 171 of fluid with a concomitant improvement in haemodynamic function and a spontaneous diuresis.
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BEARDS et al. (1993) studied this question.
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