| Theme |
Cardioascular Diseases in Dialysis Patients -- Understanding, Treatment and Management |
| Title |
Management of dialysis patients with cardiac diseases: Peritoneal dialysis for patients with cardiac diseases |
| Author |
Izumi Yamaji |
Department of Nephrology and Hypertension, Teine-Keijinkai Hospital |
| Author |
Atsushi Wada |
Division of Nephrology and Hypertension, Department of Internal Medicine, Asahikawa Red Cross Hospital |
| Author |
Toshiya Ishiguro |
Division of Nephrology and Hypertension, Department of Internal Medicine, Asahikawa Red Cross Hospital |
| [ Summary ] |
Peritoneal dialysis is suitable in relation to the hemodynamics and fluid homeostasis for patients with cardiac diseases. It is necessary to accurately control fluid volume of dialysis patients for proper cardiac function. It is also important that peritoneal dialysis patients' residual renal function be maintained. Because dehydration or hypotension contributes to deterioration of residual renal function, it is recommended that water removal rates be stable in the day and it should be kept in mind that excess water removal at night is harmful to renal functions. It is thought that the control of fluid volume in peritoneal dialysis is easier compared to hemodialysis and peritoneal dialysis patients are seldom overhydrated. However, it is difficult to contorol water removal accurately, and overhydrated patients with peritoneal dialysis are relatively common clinically. Peritoneal dialysis combined with hemodialysis, is effective to correct overhydration or underdialysis, and to maintain peritoneal function, especially in peritoneal dialysis patients without residual renal function. |