oa Central African Journal of Medicine - Intermittent peritoneal dialysis in the management of refractory heart failure

Volume 38, Issue 10
  • ISSN : 0008-9176



Five patients, all males (mean age 30,6 years) with severe heart failure, massive ascites refractory to medical treatment and a variable state of renal function were treated with intermittent peritoneal dialysis (lPD) for three to 22 weeks. In three patients in whom echocardiograms were performed before and after initiation of IPD the ejection Fractions improved. The New York Heart Association (NYHA) functional/class improved all patients. A significant amount of ultrafiltrate was removed daily by IPD. All the patients developed peritonitis after variable periods. It is suggested that IPD may be used in some patients with heart failure refractory to the currently available medical treatment, but that such use may be limited by the complications of IPD.

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