Hyponatremia in refractory congestive heart failure patients treated with icodextrin-based peritoneal dialysis: A case series

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Hyponatremia in refractory congestive heart failure patients treated with icodextrin-based peritoneal dialysis: A case series.

Severe congestive heart failure (CHF) patients are prone to hyponatremia. Peritoneal dialysis (PD) is increasingly used for long-term management of refractory CHF patients. The glucose polymer icodextrin was proposed to be a good option for fluid removal in such patients. A small, although statistically significant reduction in serum sodium (∼2mmol/l) consistently observed in multiple trials, i...

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Inflammatory Biomarkers in Refractory Congestive Heart Failure Patients Treated with Peritoneal Dialysis

Proinflammatory cytokines play a pathogenic role in congestive heart failure. In this study, the effect of peritoneal dialysis treatment on inflammatory cytokines levels in refractory congestive heart failure patients was investigated. During the treatment, the patients reached a well-tolerated edema-free state and demonstrated significant improvement in NYHA functional class. Brain natriuretic...

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Peritoneal dialysis in patients with refractory congestive heart failure: a systematic review.

BACKGROUND Refractory congestive heart failure (RCHF) is associated with a high mortality rate and is a major contributor to hospital admissions. Peritoneal dialysis (PD) is an option to control volume overload and perhaps improve outcomes in this challenging patient population. The aim of this systematic review is to describe the relative risk-benefit ratio based on data reported regarding the...

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Continuous ambulatory peritoneal dialysis and clinical outcomes in patients with refractory congestive heart failure.

INTRODUCTION AND OBJECTIVES Peritoneal dialysis has been proposed as a therapeutic alternative for patients with refractory congestive heart failure. The objective of this study was to assess its effect on long-term clinical outcomes in patients with advanced heart failure and renal dysfunction. METHODS A total of 62 patients with advanced heart failure (class III/IV), renal dysfunction (glom...

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Peritoneal dialysis in congestive heart failure.

Heart failure is a major and growing health problem. Major advances leading to newer therapies are being made in understanding the pathophysiology of heart failure as a chronic progressive disorder. Whatever the cause, all heart failure patients eventually progress to a refractory stage characterized by worsening renal function and resistance to diuretic therapy with attending severe edema. A l...

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ژورنال

عنوان ژورنال: Nefrología (English Edition)

سال: 2018

ISSN: 2013-2514

DOI: 10.1016/j.nefroe.2017.05.017