AQUAPHERESIS for Acute Decompensated Heart Failure in Adults – rationale and initial clinical experience in a single center
Journal Title: Postępy Nauk Medycznych - Year 2011, Vol 24, Issue 6
Abstract
20 consecutive patients presenting with acute decompensated diuretic-resistant heart failure were subjected to 1-11 sessions of isolated ultafiltration, followed by hemodialysis when biochemically indicated. There were no major technical nor clinical problems to remove 2500-3500 ml/session and reduce the body weight by even 12 or 30 kg. The crude mortality rate was 45% for the whole group, but only 27.3% in patients aged less than 80 years. One patient below the age of 80, out of 9 discharged, needed concomitant hemodialysis, but only one of those over 80 out of 5 in need for concomitant hemodialysis survived. We conclude ultrafiltration is a safe procedure that could be offered to diuretic resistant patients with severe congestive heart failure, but the ensuing need for concomitant hemodialysis is a bad prognostic factor, especially in patients over 80 years of age.
Authors and Affiliations
Ryszard Gellert, Dorota Daniewska, Danuta Kobus, Tomasz Żelek, Ewa Wolska, Wojciech Drewniak, Joanna Kotlarska
Keywords
Related Articles
- EP ID EP54211
- DOI -
- Views 143
- Downloads 0
Degenerative changes of the spine - treatment and social problem
Current opinion of origin and natural course of degenerative spine changes is presented. Complications of degenerative spine disease influence clinical picture with dominant pain and symptoms of nervous system's damage....
Model biomedycznego podejścia do depresji, zaburzeń lękowych, schizofrenii, ADHD, dziecięcego zaburzenia dwubiegunowego i ataków złości: przełom naukowy czy iluzja?
Wiadomo, że niektóre nieprawidłowości rozwojowe mają podłoże biologiczne. Do nich należą, między innymi, autyzm, Zespół Downa, zaburzenia związane z zatruciem toksynami, choroby metaboliczne i endokrynne. Nie ma jednak m...
Single center experience in the diagnostics of solid pseudopapillary (Gruber-Frantz) tumor of the pancreas – description of two cases and literature review
Recent development of radiological techniques and growing number of patients studied by different scanners results in a great number of asymptomatic tumors accidentally discovered what can input that radiological symptom...
Zastosowanie plazmaferezy w leczenia ciężkiego zatrucia digoksyną – opis przypadku
Haematogical problems in pregnant women at a general practitioner’s practice
In normal pregnancy there are changes in a peripheral blood and coagulation and fibrinolysis systems. Of these, the most important are physiological dilutional anaemia, benign neutrophilic leucocytosis, benign thrombocyt...