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Recurrent Episodes of Fluid Retention in a Patient with Heart Failure and Chronic Kidney Disease: The Additional Value of Implantable Monitoring Systems
Author(s) -
Marc Vanderheyden,
Sofie Verstreken,
Richard Houben
Publication year - 2021
Publication title -
case reports in cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.106
H-Index - 5
eISSN - 2090-6412
pISSN - 2090-6404
DOI - 10.1155/2021/5122917
Subject(s) - medicine , cardiology , hemodialysis , heart failure , kidney disease , diuretic , cardiorenal syndrome , kidney , renal replacement therapy
The additional role of continuous monitoring of filling pressures and impedance in heart failure patients with chronic kidney disease remains undetermined. In this case report, the effects of diuretic therapy and renal replacement therapy by hemodialysis upon right ventricular filling pressures and impedance are described in a patient with end-stage heart failure and end-stage chronic kidney disease (grade 5). We demonstrated that unloading of the heart by hemodialysis partly restored the blunted Frank-Starling relationship.

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