1. At least two non-planned admissions for acute heart failure (AHF), the last episode being in the past 6 months

2. New York Heart Association (NYHA) functional class III/IV and left ventricular ejection fraction (LVEF) less than 40%

3. Persistent congestion despite optimal loop diuretic therapy

4. Presence of renal dysfunction \[estimated glomerular filtration rate (eGFR) \< 30 mL/min/1.73 m2\] documented at least once in the last 6 months

The Role of Peritoneal Dialysis in Patients With Refractory Heart Failure and Chronic Kidney Disease