OUTPATIENT TREATMENT OF CONGESTIVE HEART FAILURE WITH SODIUM-REMOVING EXCHANGE RESINS

Abstract
MOST OF the published reports on the use of cation-exchange resins in the treatment of congestive heart failure have been concerned primarily with hospitalized patients.1 Since patients with congestive heart failure are treated largely on an ambulatory basis, it is even more important to evaluate the usefulness of these new therapeutic agents under conditions similar to those occurring in the average outpatient practice.2 The present communication reports experiences with a group of such patients whose previous clinical courses and therapeutic responses to the usual cardiac regimens are particularly well documented. MATERIALS AND METHODS The 10 patients in this series were in congestive heart failure, previously not well controlled by digitalis, low-sodium diet, oxygen, and frequent use of mercurial diuretics. Six had rheumatic, two arteriosclerotic, one rheumatic and hypertensive, and one hypertensive heart disease. All had been followed in the hospital wards, in the clinic, or through the Home

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