Application of Continuous Positive Airway Pressure in Hypoxemic Acute Respiratory Failure Associated With Diastolic Dysfunction in Pregnancy
| Autor: | Deborah A. Hutter, Hormoz Ashtyani, S. Edward Davis, Robert Berkowitz |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Adrenergic beta-Antagonists Pregnancy Complications Cardiovascular Diastole Oligohydramnios Spironolactone Emergency Nursing Hypoxemia Afterload Furosemide Pregnancy Internal medicine medicine Humans Continuous positive airway pressure Diuretics Hypoxia Mineralocorticoid Receptor Antagonists Continuous Positive Airway Pressure business.industry Diastolic heart failure medicine.disease Eplerenone Heart failure Acute Disease Emergency Medicine Cardiology Female medicine.symptom Respiratory Insufficiency Cardiology and Cardiovascular Medicine business Venous return curve Metoprolol |
| Zdroj: | Congestive Heart Failure. 12:174-175 |
| ISSN: | 1751-7133 1527-5299 |
| DOI: | 10.1111/j.1527-5299.2005.05316.x |
| Popis: | Diastolic heart failure with hypoxemia is a dangerous condition in pregnancy for both the mother and the fetus. Continuous positive airway pressure may help to decrease afterload and reduce venous return and ventricular filling, but its use in diastolic dysfunction has not yet been established. The authors report a case of a patient with pregnancy-induced hypertension and oligohydramnios who developed acute decompensated diastolic heart failure. The addition of continuous positive airway pressure, diuretics, and neurohormonal-blocking agents lead to a dramatic clinical and physiologic improvement. The authors recommend consideration of the use of positive pressure ventilation in these patients. |
| Databáze: | OpenAIRE |
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