[Central and peripheral hemodynamics in patients with heart failure treated with isolated ultrafiltration...

A total of 30 patients with Stage IIB-III (by the classification made by V. Kh. Vasilenko and N. D. Strazhesko) heart failure were studied. The preload decrease resulted from isolated ultrafiltration sessions was found to lead to improved central and peripheral hemodynamic parameters, as evidenced by higher cardiac output that caused a reduction of total peripheral vascular resistance. With the multimodality therapy performed in the postultrafiltration period, the reduced total peripheral vascular resistance was followed by diminished edema of parenchymal organs. In the postinfiltration period, the isolated ultrafiltration-induced improvement in peripheral hemodynamic parameters was associated with abundant fluid transition from the interstitial space and with a profound decrease in tissue edema and pressure.