[Heart and kidney--only together they are strong. On the cardiorenal and renocardiac syndrome. Case 5/2011]. / Herz und Nieren--nur gemeinsam sind sie stark. Über das kardiorenale und renokardiale Syndrom. Fall 5/2011.
Dtsch Med Wochenschr
; 136(18): 948, 2011 May.
Article
em De
| MEDLINE
| ID: mdl-21526459
ABSTRACT
HISTORY AND ADMISSION FINDINGS:
We report on two patients with cardiorenal and renocardiac syndrome, respectively, who were treated with peritoneal dialysis. INVESTIGATIONS Patient 1 suffered from dilated cardiomyopathy with an ejection fraction of 20%. There was no hint for an intrinsic renal disease, urinalysis showed microalbuminuria at the most. Due to progressive cardiac forward failure kidney dysfunction and diuretic-refractory volume retention developed. Patient 2 was admitted with an uremic syndrome and newly developed atrial fibrillation. Echocardiography revealed a hitherto unknown dilated cardiomyopathy. DIAGNOSIS, TREATMENT AND COURSE Both patients were treated with continuous ambulatory peritoneal dialysis. This led to regression of the uremic complications. Sinus rhythm was restored in patient 2 after two weeks and cardiomyopathy was reversed after another 9 months.CONCLUSIONS:
End-stage heart failure results in kidney dysfunction which can progress to a dialysis-dependent state. End-stage renal failure is often accompanied by cardiac dysfunction and failure.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cardiomiopatia Dilatada
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Hipertrofia Ventricular Esquerda
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Disfunção Ventricular Esquerda
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Falência Renal Crônica
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
De
Ano de publicação:
2011
Tipo de documento:
Article