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Report of Eight Cases

Jack Rubin, MD; Robert Ball, MD

Arch Intern Med. 1986;146(8):1533-1535.

Abstract
• Eight patients with severe heart failure and renal insufficiency whose conditions were refractory to diuretics were treated by continuous ambulatory peritoneal dialysis. Seven of the eight patients died. Although the patients no longer had uncontrolled congestive heart failure, hospitalization rates failed to improve due to dialysis complications and underlying heart disease. The one long-term survivor was being treated with diuretics alone after peritoneal dialysis was used to control heart failure. Although survival was short after initiation of dialysis (median survival, 225 days), this therapy may merit further study in patients less ill.

(Arch Intern Med 1986;146:1533-1535)

Author Affiliations
From the Department of Medicine, University of Mississippi Medical Center, Jackson.

Footnotes
Accepted for publication Dec 9, 1985.

Reprint requests to Department of Medicine, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216-4505 (Dr Rubin).

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