Adverse Effects of Non-Invasive Ventilation in Chronic Heart Failure: Keys to Avoid Complications

Laura Anoro Abenoza, Buisán Esporrín Cristina
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Abstract

Non-invasive mechanical ventilation (NIMV) is a therapeutic procedure that aims to supplement or improve ventilatory function. In recent decades, its benefit and multiple indications, have been demonstrated in the treatment of patients with chronic heart failure (CHF) and its acute complications [1]. However, the use of this therapy, in patients with chronic heart failure is not exempt from risks and complications, so it must be carefully individualized and requires close monitoring when ischaemic heart disease and/or arterial hypotension also coexist. Special mention requires the revision of the indication of servo ventilation in patients with severe chronic heart failure, due to its possible adverse effects.
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无创通气治疗慢性心力衰竭的不良反应:避免并发症的关键
无创机械通气(NIMV)是一种旨在补充或改善通气功能的治疗方法。近几十年来,其益处和多种适应症已在治疗慢性心力衰竭(CHF)及其急性并发症中得到证实[1]。然而,在慢性心力衰竭患者中使用这种疗法并不能免除风险和并发症,因此,当缺血性心脏病和/或动脉性低血压同时存在时,必须进行个体化治疗,并需要密切监测。特别提到的是,由于伺服通气可能产生不良影响,需要修订严重慢性心力衰竭住院患者的适应证。
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