TITLE:
Role of different kinds of dialysis in the treatment of refractory heart failure
AUTHORS:
Consolación Rosado, Rosario Manzanedo, Carmen Felipe, Begoña Alaguero, Amelia Fildago, Carlos Chacón, Jesús Martín
KEYWORDS:
Cardiorenal Syndrome; Peritoneal Dialysis; Extracorporeal Ultrafiltration
JOURNAL NAME:
Journal of Biomedical Science and Engineering,
Vol.7 No.1,
January
24,
2014
ABSTRACT: Cardiorenal
syndrome is a severe and potentially lethal disease in which heart and kidney
failures coexist. The classic treatment with loop diuretics is ineffective due
to the resistance of the kidney to those drugs, which requires the use of other
therapies, such as extracorporeal ultrafiltration and peritoneal dialysis. This
last technique is useful both in the acute treatment of acute heart
decompensation and the chronic management of heart failure, because it improves
heart function by reducing the volume overload, which in turn contributes to
improving the kidney function with a limited number of side effects, which
makes it the technique of choice for the treatment of diuretic-resistant heart
failure. In this review, we present a description of the different kinds of
cardiorenal syndrome, as well as the different treatments that are used, with
special attention to the different modalities of peritoneal dialysis.