Background: Heart failure remains a significant public health burden given its prevalence, morbidity, mortality as well its untoward financial consequences.
Summary: The assessment of congestion and its treatment are integral in heart failure pathophysiology and outcomes. Renal venous congestion and its suboptimal response to diuretic-based and novel pharmacological therapeutic regimens have thus positioned ultrafiltration as a promising therapeutic option for patients with acute decompensated heart failure. As a corollary, peritoneal dialysis has had success establishing itself as a relevant therapeutic option for chronic cardiorenal syndrome in patients with heart failure.
Key messages: Herein, we will discuss the pathophysiologic basis of ultrafiltration and peritoneal dialysis in heart failure with a review of the relevant clinical trials on safety and efficacy profiles in these patient populations.
Keywords: Cardiorenal syndrome; Heart failure; Peritoneal dialysis; Ultrafiltration.
© 2024 The Author(s). Published by S. Karger AG, Basel.