Clinical application of peritoneal dialysis in the treatment of heart failure patients with diuretic resistance
10.3760/cma.j.cn441217-20231009-01008
- VernacularTitle:腹膜透析治疗心力衰竭利尿剂抵抗患者的临床应用
- Author:
Shuiqin CHENG
1
;
Le YU
;
Zhihong ZHANG
;
Yusheng YU
Author Information
1. 南京大学医学院附属金陵医院（东部战区总医院）肾内科 国家肾脏疾病临床医学研究中心，南京 210016
- Keywords:
Peritoneal dialysis;
Heart failure;
Diuretics;
Cardiac function;
Renal function
- From:
Chinese Journal of Nephrology
2024;40(7):573-577
- CountryChina
- Language:Chinese
-
Abstract:
There are numerous novel therapies available for heart failure (HF) nowadays, but the condition of HF patients with diuretic resistance is notably complicated and severe, and its treatment is challenging. The main mechanisms of diuretic resistance in HF patients were the decrease of body's response to diuretics due to various reasons, and the retention of water and sodium. Peritoneal dialysis stands out as a safe and effective choice for the treatment of diuretic resistance in HF patients because of its advantages of ultrafiltration, sodium excretion, improvement of cardiac function, and preservation of residual renal function. This review outlines the rationale and clinical application of peritoneal dialysis in treating HF patients with diuretic resistance, to provide clinical guidance.
