[Dialysis and Ultrafiltration Therapy in Patients With Cardio-Renal Syndrome: Recommendations of the Working Group "Heart-Kidney" of the German Cardiac Society and the German Society of Nephrology]

Dtsch Med Wochenschr. 2014 Feb;139(7):e1-8. doi: 10.1055/s-0033-1360037. Epub 2014 Feb 4.
[Article in German]

Abstract

Renal failure is common in patients with severe heart failure. This complex pathophysiological interaction has been classified as cardio-renal syndrome. In these patients hydropic decompensation is the main cause of hospitalization. In patients with refractory heart failure, characterized by diuretic resistance and congestion due to volume overload, ultrafiltration has to be considered. In acute decompensated heart failure with worsening of renal function, extracorporeal ultrafiltration is the preferred treatment modality. On the other hand, patients suffering from chronic decompensated heart failure, particularly patients with ascites, will profit from the treatment specific advantages of peritoneal ultrafiltration. Prerequisite for an optimized care of patients with cardio-renal syndrome is the close collaboration among intensive care doctors, cardiologists and nephrologists.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Cardio-Renal Syndrome / rehabilitation*
  • Cardiology / standards*
  • Germany
  • Hemodiafiltration / standards*
  • Humans
  • Nephrology / standards*
  • Practice Guidelines as Topic*
  • Ultrafiltration / standards