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

Chrysοhoou, Christina; Bougatsos, George; Magkas, Nikolaos; Skoumas, John; Kapota, Athanasia; J, Kopelias; Bliouras, N; Tsioufis, Κonstantinos; Petras, Dimitris; Tousoulis, Dimitris

doi:10.1016/j.hjc.2019.04.010

Cited by 5 publications

(6 citation statements)

References 29 publications

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“…Nunez et al found no significant change in TAPSE evaluated 6 weeks after therapy initiation consistent with our observation [13]. Recently, Chrysohoou et al reported a case series of 21 elderly patients with CKD, right ventricular dysfunction and diuretic resistance [23]. They found significant improvement in right ventricular systolic strain in contrast to the findings in our study.…”

Section: Discussionsupporting

confidence: 90%

“…PD is effective in increasing quality of life in diuretic unresponsive patients in terms of improving NYHA functional class and less hospitalization rates as observed in the present study. These findings are consistent with previous studies and meta‐analyses [7–27]. Fröclich et al conducted a study where PD treatment is compared with medical treatment in refractory HF patients.…”

Section: Discussionsupporting

confidence: 90%

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Peritoneal dialysis for refractory heart failure: A single‐center experience

et al. 2022

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Introduction: Heart failure (HF) is a disease associated with poor quality of life. Peritoneal dialysis (PD) can be an alternative in the treatment of these patients to overcome fluid overload. The objective of this study is to observe the effects of PD in refractory HF patients. Methods: We conducted an observational study including 10 patients with refractory congestive HF. PD started solely for fluid overload. Patients' baseline parameters were compared with follow-up parameters. Results: Median age was 57.5 (44.8-64.3) years. Median left ventricular ejection fraction was 20% (18.8-31.3), and all patients had right ventricular dysfunction. Median estimated glomerular filtration rate was 51.2 (43.8-101.3) ml/min/1.73 m 2 .Two patients (20%) died during the follow-up period. New York Heart Association (NYHA) functional class decreased significantly from a median of 4 to 2,1 and 1 in the 3rd, 6th, and 12th months, respectively (p ≤ 0.01 for all from baseline). Number and length of hospitalization decreased significantly after treatment (number from a median of 3 to 0, p = 0.013; days from 50.5 to 0, p = 0.028). Conclusion:PD significantly reduced NYHA functional class, number and days of hospitalization for HF. It could be a reasonable option in chronic treatment of patients with refractory HF.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

Peritoneal dialysis for refractory heart failure: A single‐center experience

et al. 2022

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“…The overlapping risk factors can be observed in various hemodynamic interactions in heart and kidney failure, neurohormonal interplay, chronic kidney disease (CKD) and atherosclerotic diseases [1]. Concurrent renal disease and heart failure (HF) are directly related and indicative of a worse prognosis leading to a greater burden on our healthcare system and patient quality of life [2]. A 2008 consensus conference defined "disorders of the heart and kidneys whereby acute or chronic dysfunction in one organ may induce acute or chronic dysfunction of the other" as cardiorenal syndrome (CRS) [3].…”

Section: Introductionmentioning

confidence: 99%

An Update on the Pathophysiology and Treatment of Cardiorenal Syndrome

et al. 2020

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Cardiorenal syndrome (CRS) encompasses various disorders of the heart and kidneys; dysfunction of one organ leads to acute or chronic dysfunction of the other. It incorporates the intersection of heart-kidney interactions across several mediums, hemodynamically, through the alterations in neurohormonal markers, and increased venous and renal pressure, all of which are hallmarks of its clinical phenotypes. This article explores the epidemiology, pathology, classification and treatment of each type of CRS.

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“…Accordingly, the PD has many of advantages in comparison with HD; it gives the patients more freedom to do daily activities as well as easily use and speed, low cost, and absence for need of highly skilled operator and anticoagulation [19]. In addition, many of data suggest that the transplant outcomes in patients that used PD against HD are improved and myocardial stunning in PD is less, therefore, the PD may be considered as a modality of choice in patients with cardiovascular comorbidities [20], [21], [22]. In addition, quality of life is better in patients on PD than HD [23].…”

Section: Introductionmentioning

confidence: 99%

Spectrum of Complications of Patients with Chronic Kidney Disease on Maintenance Continuous Ambulatory Peritoneal Dialysis: An Experience of Tertiary Nephrology Center in Najaf City-Iraq

Noori

Hadi

Sharba

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Chronic kidney disease (CKD), also called chronic kidney failure, is described as gradual loss of kidney function. CKD can progress to end-stage kidney failure, which is fatal without artificial filtering (dialysis) or kidney transplant. Peritoneal dialysis (PD) has a widespread renal replacement therapy with great acceptance because of simplicity, flexibility, and independence. AIM: The aim of this study was to evaluate the complications of continuous ambulatory PD (CAPD) in patients with CKD. METHODS: A cross-sectional study, involved 140 patients, aged between 18 and 80 years old and suffered from CKD under maintenance CAPD in the dialysis unit of the renal center. All data regarding the sociodemographic profile of the patient, vitals, etiological diagnosis, frequency and duration of dialysis, and dialysis-related complications were taken. RESULTS: In the current study, there is a significant difference in the distribution of complications among gender where the female patients had a higher incidence of both infectious and non-infectious complications. The study also reported that there is much lower rate of complications among patients on laparoscope operation in compared with the open operation. In addition, patients with open abdomen PD developed the complications earlier than those with laparoscope maintenance CAPD. CONCLUSION: Peritoneal infection is the most prevalent complication among the other complications in the current study. There is much lower rate of complications among patients on PD in compared with hemodialysis and on laparoscope in compared with the open operation.

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

Cited by 5 publications

References 29 publications

Peritoneal dialysis for refractory heart failure: A single‐center experience

Peritoneal dialysis for refractory heart failure: A single‐center experience

An Update on the Pathophysiology and Treatment of Cardiorenal Syndrome

Spectrum of Complications of Patients with Chronic Kidney Disease on Maintenance Continuous Ambulatory Peritoneal Dialysis: An Experience of Tertiary Nephrology Center in Najaf City-Iraq

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