cardiac failure heart failure
Conditions
Interventions
group I standard farmacological treatment
group II additional nocturnal peritoneal dialysis
Sponsors
Nefrologie
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: • Severe refractory congestive heart failure with signs of diuretic resistance which is defined as the inability to preserve euvolemia despite maximal diuretic therapy • Dyspnoe NYHA class III and IV • Not fit for resynchronisation therapy or patients with relapse of diuretic resistance after resynchronisation therapy • Age at least 18 years. • Capable of giving informed consent.
Exclusion criteria
Exclusion criteria: 1. Fit for resynchronisation therapy 2. On the heart transplant waiting list 3. Contraindications for peritoneal dialysis: history of multiple abdominal operations 4. MDRD 30 ml/min 5. Severe comorbidity with life expectancy less than 1 year
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Mortality Quality of life Cardiac function Residual renal function and urine production Nutrition | — |
Primary
| Measure | Time frame |
|---|---|
| Hospitalization days | — |
Countries
Netherlands
Outcome results
None listed