Kenneth B. Cairns, M.D.; George A. Porter, M.D.; Frank E. Kloster, M.D.; J. David Bristow, M.D.; Herbert E. Griswold, M.D., F.A.C.P.
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Heart failure refractory to medical management, especially when complicated by a dilutional state, often represents end-stage disease. The treatment is slow, unpleasant, and generally unsuccessful. Thirteen such severely ill patients were treated with hypertonic peritoneal dialysis. In ten with technically satisfactory dialyses, an average of 5 liters was removed with immediate decrease in edema. Six achieved remission, as judged by sustained diuresis weight loss and clinical improvement, lasting from 3 weeks to over a year. One improved sufficiently to undergo successful valve replacement.
The average weight decreased from 63 to 48 kg after 24 hr of dialysis and to 56.5
Cairns KB, Porter GA, Kloster FE, Bristow JD, Griswold HE. Clinical and Hemodynamic Results of Peritoneal Dialysis for Intractable Cardiac Failure.. Ann Intern Med. ;66:1034–1035. doi: 10.7326/0003-4819-66-5-1034_3
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Published: Ann Intern Med. 1967;66(5):1034-1035.
Cardiology, Heart Failure, Nephrology, Renal Replacement Therapy.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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