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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Cardiology
Satisfied Customers: 55457
Experience:  Cardiology Expert
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My Dad is 93 years old with HFpEF. s cardiologist has been

Customer Question

My Dad is 93 years old with HFpEF. His cardiologist has been aggressively managing his fluid retention with diuretics. His BNP is between 1600 and 2000.
Today, when he went to the cardiologist, they admitted him to the hospital for dialysis, and said they wanted to 'get him home' (he's been staying in a Rapid Recovery center, being given his extensive meds and getting regular PT for the fluid build up). My Parents think he is going to get better from the dialysis and 'go home.' I am wondering if this actually means they are sending him home to die. Should I fly down there? How long can you treat severe CHF with dialysis? Thank you!
Submitted: 1 year ago.
Category: Cardiology
Expert:  DrThomasMd replied 1 year ago.


I can not second guess what they are doing.

However, dialysis means that his kidneys would not remove fluid.

In other words, renal failure.

Heart failure and renal failure at age 93 would indicate a high mortality rate.

However, he has a preserved ejection fraction, so this does not add up.

Why dialysis?

That is the question, and probably the serious concern.

OK, so that is an initial answer….

Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Expert:  Dr. Phil, MD replied 1 year ago.

Hi I'm Dr. Phil and I'm a cardiology expert on this site

This makes perfect sense actually

He is going into cardiorenal syndrome.

This is common in advanced heart failure (even HFpEF)

He may be going to go home on hospice. That is probably a good idea if his prognosis is very poor. Most studies show that individuals that go home on hospice actually do better

Dialysis can stabilize him but it is not a long term solution.