The aim of the study was to evaluate the daily use of hemofiltration in patients with anuria and heart failure IV NYHA, and not reacting to pharmacological therapy. Patients were submitted to daily hemofiltration therapy considering: the dry weight, BP, pO2, creatininemia, natriemia, kaliemia, and magnesiemia. Every month an echocardiogram and an ECG were done. Two patients passed from IV to III class NYHA, with a reduction in the telediastolic diameter and improvement in the ejection fraction and in the cardiothoracic index. In NYHA IV patients, it was possible to obtain a very good improvement in the clinical situation, echocardiographic parameters and survival with daily hemofiltration.
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IorioL., SimonelliR., NaccaR.G., De SantoL.S.. Daily hemofiltration in severe heart failure. Kidney Int1997; 51(suppl. 59): S62–5.
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IorioL., SimonelliR., LambertiF., NaccaR.G.. Daily hemofiltration in severe heart failure. In: De SantoN.G., CapassoG., eds. Acid-Base and Electrolyte Balance.Napoli: Istituto Italiano per gli Studi Filosofici1995; 391–6.
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CostanzoM.R., AugustineS., BourgeR.Selection and treatment of candidates for heart transplantation. A statement for health professionals from the Committee on Heart Failure and Cardiac Transplantation of the Council on Clinical Cardiology, American Heart Association. Circulation1995; 92: 3593–612.
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MudgeG.H., GoldsteinS., AddonizioL.J.Task Force 3: Recipient guidelines/priorization. J Am Coll Cardiol1993; 22: 21–31.
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StevensonL.W., SteimleA.E., FonarowG.Improvement in exercise capacity of candidates awaiting heart transplantation. J Am Coll Cardiol1995; 25: 163–70.
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StevensonW.G., StevensonL.W., MiddlekauffH.R.Improving survival for patients with advanced heart failure: A study of 737 consecutive patients. J Am Coll Cardiol1995; 26: 1417–23.
9.
IorioL., SaltarelliG., SimonelliR., LambertiF., NaccaRG:Effetti emodinamici, a breve termine mediante emofiltrazione, in soggetti dializzati con cattiva regolazione della pressione arteriosa. In: TimioM., WizemannV., VenanziS., eds Cardionephrology 3.Cosenza: Editoriale BIOS1995; 207–10.
