Korean Circ J.  1989 Mar;19(1):147-152. 10.4070/kcj.1989.19.1.147.

Continuous Ambulatory Peritoneal Dialysis(CAPD)in Refractory Congestive Heart Failure

• Kim BI
• Ham YH
• Chung DK
• Lee HY
• Cho SY
• Han DS
• Kim MJ

• KMID: 1670384
• DOI: http://doi.org/10.4070/kcj.1989.19.1.147

Abstract

Heart failure unresponsive to bed rest, low sodium diet, digitalis, diuretics, vasodilators and cardiac inotropic agents is a difficult therapeutic problem. Although remission was achieved with such treatment, its duration was short and easily recurred. We present a report of severe refractory congestive heart failure in three patients successfully treated with Continuous Ambulatory Peritoneal Dialysis (CAPD). These patients were admitted to the hospital many times and treated by conventional methods but cannon maintain their condition for a long time. In all three patients, edema, pulmonary congestion, electrolyte abnormalities, decreased ejection fraction and fractional shortening of myocardioum were eliminated or improved by CAPD. All three patients improved from Class IV congestive heart to Class II, as defined by the New York Heart Association, and experienced a define improvement in their sense of well being We conclude CAPD as an effective and the useful treatment for servere congestive heart failure refractory to conventional medical treatments.

Keyword

CAPD; Congestive heart failure

MeSH Terms

Bed Rest
Diet
Digitalis
Diuretics
Estrogens, Conjugated (USP)*
Heart
Heart Failure*
Humans
Peritoneal Dialysis, Continuous Ambulatory
Pulmonary Edema
Sodium
Vasodilator Agents
Diuretics
Estrogens, Conjugated (USP)
Sodium
Vasodilator Agents