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June 1987

Improved Management of Congestive Heart Failure: Use of Continuous Ambulatory Peritoneal Dialysis

Author Affiliations

From the Clinic of Internal Medicine (Drs König, Geissler, Lechleitner, and Dittrich) and the First University Clinic for Surgery (Dr Spielberger), University of Innsbruck, Austria.

Arch Intern Med. 1987;147(6):1031-1034. doi:10.1001/archinte.1987.00370060027005

• Four patients suffering from end-stage congestive heart failure (CHF) refractory to conventional medical treatment were treated with continuous ambulatory peritoneal dialysis (CAPD) for one to 21 months. All four patients improved from class IV CHF to class II, as defined by the New York Heart Association, and experienced a definite improvement in their sense of well-being. Three patients, women between 42 and 59 years of age with contraindications for heart transplantation, were all professionally rehabilitated. One 21-year-old patient received CAPD until he underwent a successful orthotopic heart transplantation. We thus propose CAPD as an effective treatment for end-stage CHF refractory to conventional medical treatment.

(Arch Intern Med 1987;147:1031-1034)