Is there any evidence that PD should not be performed on a patient with cardiac issues? There are a couple cardiologists that refuse to give clearance for PD because they said it is bad for the heart.

Questions About PD

Bonnee W., Nurse from Illinois asked
Is there any evidence that PD should not be performed on a patient with cardiac issues? There are a couple cardiologists that refuse to give clearance for PD because they said it is bad for the heart.

1 answer

MD from Europe March 21, 2018

Thank you very much for your question.
Heart disease (i.e. coronary heart disease, heart failure) is definitely not a contraindication to PD.
On the contrary, PD is often regarded as more convenient in these patients, as it provides a continuous, slow ultrafiltration while hemodialysis requires more ‘aggressive’ UF rates which can be poorly tolerated in case of heart disease (especially HF).
In addition, PD may be used as an effective strategy to restore euvolemia in patients with decompensated heart failure and fluid overload refractory to high doses loop diuretics. 

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