Table 3.

Patient 3 treatment course for a 53-year-old, 85-kg male with renal failure due to glomerulonephritis and a history of hypertrophic obstructive cardiomyopathy

Date	Echocardiographic data	Dialysis and cardiac medication	Symptoms
2015	EF 45–55% PAP 45 Moderate MR, hypertrophic obstructive cardiomyopathy	PD	Fluid overloaded
2016	EF 40–45% PAP > 55 Moderate–severe MR	Haemodialysis 3 × 4 h β-blocker	Hypotensive episodes on dialysis and SOB
2018 (February)	EF35% PAP38 Moderate–severe MR and TR	Perioperative cardiac event in hospital 3 times a week	Sever SOB, limited exercise tolerance
2018 (November)	EF 65%	Home HD 5 × 3 h, 30 LARB	Tolerating dialysis without issue Exercise improved Referred for renal transplant

SOB, shortness of breath.