Role of Peritoneal Ultrafiltration in Heart Failure Treatment
Journal Title: HASEKİ TIP BÜLTENİ - Year 2017, Vol 55, Issue 3
Abstract
Cardiorenal syndrome (CRS) is a general term that can reflect different clinical conditions in which cardiac and renal dysfunctions coexist. The main pathogenetic mechanisms playing a role in heart failure (HF) and CRS are neurohumoral adaptation, right ventricular dilatation and dysfunction and systemic inflammation. Persistence of these factors cause focal and segmental glomerulosclerosis, and tubulointerstitial fibrosis in the renal parenchyma. Diuretics, beta blockers, reninangiotensin-aldosterone system inhibitors, and vasodilators are the main medical treatments besides conventional approach, such as salt and water restriction and quitting smoking, in HF treatment. Diuretic resistance is the main problem emerging during diuretic treatments. Two renal replacement treatments have become prominent for removal of excess fluids via ultrafiltration in HF patients with diuretic resistance extracorporeal ultrafiltration with hemodialysis and peritoneal dialysis (PD). Herein, the role of these two ultrafiltration modalities, especially peritoneal ultrafiltration (PUF) in the treatment of HF is discussed. The main studies and advantages of PUF in HF treatment were discussed. Moreover, effects of PD on glomerular filtration rate, hospitalization and mortality were investigated. In conclusion, PD is an alternative cheap, practical and convenient therapy in reducing cardiac volume burden in HF patients who do not respond well to standard treatments and/or require frequent hospitalization.
Authors and Affiliations
Tuba Elif Şenel, Egemen Cebeci, Savaş Öztürk
Keywords
Related Articles
- EP ID EP228193
- DOI 10.4274/haseki.81894
- Views 67
- Downloads 0
Rehabilitation Outcomes of Operated Sprengel Deformity (Congenital High Scapula): A Case Report
Sprengel deformity (SD), also known as congenital high scapula, is a rare congenital deformity of one or both scapulae that appears at birth. It is the most common congenital deformity of the shoulder. This condition occ...
Peroneal Pseudoaneurysm as a Complication of Emergency Thromboembolectomy and Treatment with Coil Embolisation
Peroneal pseudoaneurysm is a rarely seen as a complication due to a variety of treatment strategies. Continuous blood flow and decreased vascular wall support associated with pseudoaneurysm can cause rapid enlargement, c...
The Value of Fibrosis Index in Discrimination of Chronic Hepatitis and Cirrhosis
Aim: To evaluate the value of Doppler ultrasonography (US) and fibrosis index in differentiating between chronic hepatitis and cirrhosis. Methods:Sixty-seven non-cirrhotic viral hepatitis B and C patients and 28 cirrho...
The Acute Effect of Erythropoietin on Mean Platelet Volume Levels during Hypoxia Reoxygenation Injury in Rats
Aim: This biomedical study tested the effect of erythropoietin (Epo) in rat model, especially in a hypoxia-reoxygenation one. The trend of this factor was evaluated hematologically using serum mean platelets volume (MPV)...
The Imaging Findings of Duodenal Adenocarcinoma in Patient with Celiac Disease
Small intestine tumors are extremely rare. They account for approximately 1-5% of all gastrointestinal tumors. However, the risk of development of small intestine tumor increases in patients with celiac disease. Celiac d...