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
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Cairns KB, Porter GA, Kloster FE, Bristow JD, Griswold HE. Clinical and Hemodynamic Results of Peritoneal Dialysis for Intractable Cardiac Failure.. Ann Intern Med. 1967;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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