The role of continuous positive airway pressure in acute cardiogenic edema with preserved left ventricular systolic function
| Autor: | Giancarlo Gini, Vittorio Berruti, Italo Nessi, Massimiliano Etteri, Chiara Bonetti, Dante Clerici, Marco Vettorello, Carlo Maino, Andrea Bellone, Chiara Minelli, Massimo Mariani |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Systole medicine.medical_treatment Diastole Positive pressure Pulmonary Edema Statistics Nonparametric Ventricular Function Left Intensive care medicine Humans Continuous positive airway pressure Prospective Studies Prospective cohort study Aged Analysis of Variance Continuous Positive Airway Pressure business.industry General Medicine Middle Aged Pulmonary edema medicine.disease Treatment Outcome Echocardiography Anesthesia Acute Disease Emergency Medicine Arterial blood Female Blood Gas Analysis business |
| Zdroj: | The American journal of emergency medicine. 27(8) |
| ISSN: | 1532-8171 |
| Popis: | Objective The objective of the study was to compare the effect of continuous positive airway pressure (CPAP) in patients with acute cardiogenic pulmonary edema (ACPE) with preserved or impaired left ventricular systolic function with regard to resolution time. Methods In a prospective, preliminary observational cohort study, 18 patients with preserved left ventricular systolic function (group A) and 18 patients with systolic heart dysfunction (group B) with ACPE underwent CPAP (10 cmH20) through a face mask with standard medical therapy after a morphologic echocardiographic investigation shortly before CPAP. Results Resolution time did not differ significantly between the 2 groups of patients (64 ± 25 minutes in diastolic group vs 80 ± 33 minutes in systolic group). One patient in preserved left ventricular systolic function group required endotracheal intubation (not statistically significant). No patient died during hospital stay. Arterial blood gases improved after a trial of CPAP in both groups of patients. Conclusions The results of this preliminary study show that resolution time is not significantly different in patients with ACPE with preserved or impaired systolic function submitted to CPAP. |
| Databáze: | OpenAIRE |
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