when i first met this nice lady, i was in an evening work shift of ccu. this 69 years-old woman had been referred recently to our ward. she had a pale and puffy face. she suffered from chf. she had a normal breathing, but her ankle was swollen.   we stabilized her condition easily but, it was just the first step in her treatment way. prevention of recurrence of heart attack was our goal. every ...

Introduction The potent loop diuretics have an unrivalled place in the management of acute left ventricular failure (LVF). Few situations can be envisaged in which one of these agents cannot be given, although the therapeutic response may in many cases be poor (e.g. in renal failure). There seems little need for alternative agents to fulfil the role of loop diuretics, although the vasodilators ...

Peritoneal dialysis is the ultrafiltration therapy of choice for the long-term ambulatory management of patients with diuretic-resistant refractory congestive heart failure. Here we report a case of patient with right heart failure, massive ascites, and refractory to medical treatment treated with continuous ambulatory peritoneal dialysis.

Many heart centers are utilizing the total artificial heart for a bridging technique to transplantation, particularly in patients with bi-ventricular failure or irreversible left ventricular failure, where a donor heart is not readily available. This discussion includes the training procedure, operation and management of Canada's first total artificial heart performed on May 1, 1986.

Acute right ventricular failure post heart transplantation in the pediatric population has not been well documented. Treatment using medical therapies including inotropes and nitric oxide are often inefficient for pediatric patients. Extracorporeal membrane oxygenation has been traditionally used in children until a long-term decision can be made. As a result of the emergence of smaller assist ...

Chylous ascites and chylothorax have rarely been reported as a consequence of severe right heart failure. To our knowledge, this is the first case report of both disorders occurring as a result of ischaemic cardiomyopathy. The autopsy findings and possible mechanisms of production are discussed.

In this case report, we discuss treatment of a 66-year-old patient with right heart failure due to chronic left heart failure caused by ischemic cardiomyopathy. We decided to manage this patient by implanting a temporary right ventricular assist device (Impella RP®) as a novel therapeutic option for acute on chronic right heart decompensation.

background chronic heart failure (chf) is associated with unpredictably increased prevalence of hospital admissions. self-care is one of the most important aspects of management for patients with chf. self-care adequacy has led to increased satisfaction, independence in daily activities, reduced stress, and morbidity. objectives we aimed to assess the relationship between self-care behavior and...

n-terminal pro β-type natriuretic peptide (nt-probnp) is a valuable marker for monitoring the response to treatment in patients with heart failure. based on the clinically observed improvement of heart failure symptoms early after cardiac resynchronization therapy (crt), we sought to investigate whether crt induce any significant reduction in the plasma level of nt-probnp in three days after im...