Effective Treatment of Congestive Heart Failure Using Adaptive Servo-ventilation in an End-stage Renal Disease Patient on Hemodialysis

被引：1

作者：

Aizawa, Naoki ^{[1
]}

Nagahama, Kazufumi ^{[1
]}

Goya, Kaoru ^{[1
]}

Yamazato, Shoichiro ^{[1
]}

Ikemiyagi, Hidekazu ^{[1
]}

Ohshiro, Katsuhiko ^{[1
]}

Shinzato, Tomoko ^{[1
]}

Higashiuesato, Yasushi ^{[1
]}

Ishiki, Tetsuya ^{[1
]}

Yasu, Takanori ^{[2
]}

Iseki, Kunitoshi ^{[3
]}

Ohya, Yusuke ^{[1
]}

机构：

[1] Univ Ryukyus, Grad Sch Med, Dept Cardiovasc Med Nephrol & Neurol, Nishihara, Okinawa 90301, Japan

[2] Dokkyo Med Univ, Nikko Med Ctr, Dept Cardiovasc Med, Mibu, Tochigi, Japan

[3] Univ Hosp Ryukyus, Dialysis Unit, Okinawa, Japan

来源：

INTERNAL MEDICINE | 2014年 / 53卷 / 18期

关键词：

adaptive servo-ventilation; heart failure; hemodialysis; end-stage renal disease (ESRD);

D O I：

10.2169/internalmedicine.53.2079

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 61-year-old man who was being treated with hemodialysis (HD) for end-stage renal disease presented with symptoms of severe congestive heart failure (CHF). Removing excess intravascular fluid during HD was difficult due to the patient's chronic hypotension induced by severe left ventricular (LV) dysfunction. The application of adaptive servo-ventilation (ASV) increased the patient's cardiac output and blood pressure during HD, thus resulting in the effective removal of excess intravascular fluid. Therefore, ASV may be effective for treating CHF in HD patients with LV dysfunction and chronic hypotension.

引用

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页码：2087 / 2090

页数：4

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