| Literature DB >> 27702934 |
Naomi Nakazawa1, Keisuke Nakabayashi2, Toshiaki Oka2.
Abstract
Renal congestion contributes to the cardiorenal syndrome. There are some heart failure cases that are refractory to diuretic therapy. If the dose of diuretics is titrated, it leads to irreversible renal dysfunction. Early administration of tolvaptan is effective in treating fluid retention and congestion. However, in case of tolvaptan resistance, starting extracorporeal ultrafiltration (ECUM) at an early stage should be considered. Tolvaptan has been proven efficient, and we believe it should be incorporated with the classical method, ECUM. Herein, we present a case of successful application of ECUM to a heart failure patient refractory to any diuretics and tolvaptan. 2016 BMJ Publishing Group Ltd.Entities:
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Year: 2016 PMID: 27702934 PMCID: PMC5073608 DOI: 10.1136/bcr-2016-217301
Source DB: PubMed Journal: BMJ Case Rep ISSN: 1757-790X