Peritoneal dialysis as a therapeutic solution in elderly patients with cardiorenal syndrome and heart failure: a case-series report

Abstract Background The aim of this work was to evaluate the impact peritoneal dialysis (PD) on venous congestion, right ventricle function, systolic arterial pulmonary pressure and clinical functional status in elderly patients with cardiorenal syndrome (CRS) chronic heart failure (HF). Methods A case series 21 (17 males, 70±11 years) consecutive pts diuretic-resistance ventricular dysfunction (median renal duration (RF) 60 months, range 13–287 mean ejection fraction 36±11%) having been engaged PD 12.5 2–28); 77% were under Automated Peritoneal Dialysis (APD), whereas rest Continuous Ambulatory (CAPD). Patients' Pulmonary Artery Systolic Pressure (PASP), Central Venus (CVP) – through compression sonography body weight evaluated 6 intermediate visits. Results During follow-up period, mortality rate 8 deaths out (38%) (or 3 deaths/100 person-months).A significant reduction by 29.9% PASP levels (p=0.013)and 42% CVP (p<0.001), function observed; increased 3.7% (p=0.001). NYHA class improved 12 pts; whereas, remained constant (p=0.046). In complications reported (mainly presence staphylococcus. aureus). Conclusion seems confer a substantial benefit status, line improvement congestion among HF CRS. Funding Acknowledgement Type funding sources: None.