Effect of Nasal Continuous Positive Airway Pressure on Pulmonary Edema Complicating Acute Myocardial Infarction
スポンサーリンク
概要
- 論文の詳細を見る
Cardiogenic pulmonary edema is a frequent cause of reparatory failure. We investigated the effects of nasal continuous positive airway pressure(CPAP)in patients with severe pulmonary edema associated with acute myocardial infarction. Twenty-nine consecutive patients were divided into 3 groups:firstly, 7 intubated patients who received mechanical ventilation at study entry comprised the intubation group. The rest of the patients were randomly assigned to either of the following 2 groups:11 patients who received oxygen plus CPAP defivered by a nasal mask(CPAP group), and 11 patients who received oxygen only via face mask(oxygen group). All patients in the intubation group had cardiogenic shock. Two patients(18%)in the CPAP group and 8 patients(73%)in the oxygen group required mechanical ventilation with endotracheal intubation(p=0.03). The hospital mortality rate in the CPAP group(9%)was significantly lower than the oxygen group(64%, p=0.02). The pulmonary artery wedge pressure and heart rate were significantly lower in the CPAP group than in the oxygen group 24h after study entry(p<0.05 and p<0.01). The mean pulmonary artery pressure 48h after study entry was 18±5mmHg in the CPAP group and 25±8mmHg in the oxygen group(p<0.05). The PaO_2/FiO_2 ratio increased in the intubation group(168±69 to 240±57, p<0.05)and the CPAP group(137±17 to 253±67, p<0.01)24h after study entry. Arterial plasma endothelin-1 concentrations decreased significantly earlier in the CPAP group than in the oxygen group(p<0.05). In patients without cardiogenic shock, nasal CPAP lead to an early improvement in oxygenation and hemodynamics, and decreased the mortality rate. Early and active respiratory management is recommended in patients with pulmonary edema associated with acute myocardial infarction.
- 社団法人日本循環器学会の論文
- 1998-07-20
著者
-
TAKANO Teruo
Department of Internal Medicine, Nippon Medical School
-
Nejima Jun
Department of Internal Medicine, Nippon Medical School
-
Nakanishi Kazuhiro
Department of Bioscience and Biotechnology, Faculty of Engineering, Okayama University
-
Takayama Morimasa
Department of 1st internal medicine, Nippon Medical School
-
Nejima Jun
Intensive And Cardiac Care Unit Nippon Medical School Hospital
-
OGAWA RYO
Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sc
-
Takano Teruo
Department Of 1st. Internal Medicine Nippon Medical School
-
Ogawa Ryo
日本医科大学 麻酔科
-
Ogawa Ryo
Department Of Anesthesiology Nippon Medical School
-
Nejima Jun
Department Of Internal Medicine Tsurumi University School Of Dental Science
-
TAKEDA SHINHIRO
Department of Anesthesiology, Nippon Medical School
-
SAKAMOTO ATSUHIRO
Department of Anesthesiology, Nippon Medical School
-
Miyazawa Takuya
Tokyo Ccu Network Scientific Committee:sakakibara Heart Institute
-
Takeda Shinhiro
Department Of Anesthesiology Nippon Medical School Hospital
-
Takeda Shinhiro
Division Of Coronary Care Unit Nippon Medical School
-
Takeda Shinhiro
The Division Of Intensive Cae And Coronary Care Unit Nippon Medical School
-
Nejima Jun
日本医科大学 第1内科
-
Nejima Jun
Protect (prospective Trial Of Cardioprotective Effect Of Carperitide Treatment) Study Group
-
Nejima Jun
Department Of Intensive Care Medicine Nippon Medical School
-
Nakanishi Kazuhiro
Department Of Anesthesia Nippon Medical School
-
Takeda Shinhiro
Department Of Anesthesiology Nippon Medical School
-
Takano Teruo
Department Of Intensive Care Medicine Nippon Medical School
-
Nejima Jun
日本医科大学 集中治療
-
Ogawa Ryo
Department Of Anesthesia Nippon Medical School
-
Sakamoto Atsuhiro
Department Of Anesthesiology Nippon Medical School Hospital
-
Sakamoto Atsuhiro
Department Of Anesthesiology Nippon Medical School
-
Nejima J
Division Of Intensive And Coronary Care Unit Nippon Medical School Hospital
-
Nakanishi Kazuhiro
Deparment Of Food Science And Technology Faculty Of Agriculture Kyoto University
-
Takayama Morimasa
Department Of Intensive Care Medicine Nippon Medical School
-
TAKEDA Shinhiro
Department of Anesthesiology and Intensive Care Unit, Nippon Medical School
-
TAKEDA Shinhiro
Department of Anesthesiology and Intensive Care Medicine, Nippon Medical School
関連論文
- Elevated Levels of Both Cardiomyocyte Membrane and Myofibril Damage Markers Predict Adverse Outcomes in Patients With Chronic Heart Failure
- Effects of a Pure α/β-Adrenergic Receptor Blocker on Monocrotaline-Induced Pulmonary Arterial Hypertension With Right Ventricular Hypertrophy in Rats
- FACTORS INFLUENCING THE PROGNOSIS OF VARIANT ANGINA PECTORIS : Ischemic Heart Disease : PROCEEDINGS OF THE 50th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Adsorption Characteristics of Oligopeptides Composed of Acidic and Basic Amino Acids on Titanium Surface(BIOCHEMICAL ENGINEERING)
- Identification of Genes from Aspergillus oryzae That Are Preferentially Expressed in Membrane-Surface Liquid Culture(GENETICS, MOLECULAR BIOLOGY, AND GENE ENGINEERING)
- Protease Susceptibility of β-Lactoglobulin Adsorbed on Stainless Steel Surface as Evidence of Contribution of Its Specific Segment to Adsorption(MISCELLANEOUS)
- Purification and Characterization of a Novel Aminoacylase from Streptomyces mobaraensis
- PJ-382 Ventilatory Response during Exercise is Less Affected by Chemoreflex Sensitivity in HOCM Patients with Preserved LV Systolic Function(Heart failure, clinical-11, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OE-003 All Physicians are Reminded That an Automated External Defibrillator is not Perfect(Emergency care-1, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OE-001 Importance of Appropriate Pad Positioning of an AED(Emergency care-1, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- FRS-030 Ongoing Myocardial Damage and Cardio-Renal Burden in Patients with Hypertensive Heart Disease with Preserved LV Systolic Function(Clinical Heart Failure-Pathophysiology and Treatment, The 71st Annual Scientific Meeting of the Japanese Circulation
- Vasodilatory Effect of Subsequent Administration of Fasudil, a Rho-Kinase Inhibitor, Surpasses That of Nitroglycerin at the Concentric Coronary Stenosis in Patients With Stable Angina Pectoris
- PJ-750 Restricted local thrombolysis for patients with acute major pulmonary embolism relatively contraindicated to thrombolysis(Thromboembolism / Antithrombotic therapy / Thrombolysis(05)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of
- Manual Aspiration Thrombectomy with a Standard PTCA Guiding Catheter for Treatment of Acute Massive Pulmonary Thromboembolism
- The Effects of Catecholamine Sensitive Focal Activity to the Wavefront Dynamics during Ventricular Fibrillation(Arrhythmia, Basic 3 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Roles of Ca^ Pump Function of Sarcoplasmic Reticulum in the Mechanism of Electrical and Mechanical Alternans
- PJ-518 Usefulness of Bare-Metal Stent in the Treatment of Large Coronary Arteries(PJ087,Coronary Revascularization, PCI (Restenosis/Others) 2 (IHD),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PJ-347 The Significance of T2-weighted MRI in Early Phase after Percutaneous Transluminal Septal Myocardial Ablation in Patients with Hypertrophic Cardiomyopahty(PJ059,CT/MRI (Myocardium) 1 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting
- PJ-222 Assessment of the Anatomic Regurgitant Orifice in Aortic Regurgitation by Real-time 3-dimensional Transesophageal Echocardiography(PJ038,Echo/Doppler (New Technology) 1 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanes
- PJ-064 Evaluation of Myocardial Damage by Magnetic Resonance Imaging in Patients with Duchenne Muscular Dystrophy(PJ011,CT/MRI (Myocardium) 4 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PE-345 Concordance of Alcohol Ablation Localization in Interventricular Septum against Systolic Anterior Motion (SAM) of Mitral Valve in HOCM(PE058,Cardiomyopathy/Hypertrophy (Clinical) 1 (M),Poster Session (English),The 73rd Annual Scientific Meeting of
- PE-117 Prognostic significance of myocardial SPECT with iodine-123-methyl iodophenyl-pentadecanoic acid (BMIPP) in risk stratification of patients with chronic total coronary occlusion(PE020,Nuclear Cardiology (Coronary, Myocardium) (I),Poster Session (En
- OJ-209 Localization of Mitral Valve Prolapse Affects the Geometry of the Mitral Annulus(OJ35,Valvular Heart Disease/Pericarditis/Cardiac Tumor 1 (M),Oral Presentation (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- OE-422 Incidence and Predictors of Appropriate Implantable Cardioverter-Defibrillator Therapies in Patients with Hypertrophic Cardiomyopathy(OE71,ICD (M),Oral Presentation (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- OE-292 Mid-term outcomes of medically managed patients with nonrecanalized chronic total coronary artery occlusion(OE50,Coronary Circulation/Chronic Coronary Disease (Basic/Clinical) (IHD),Oral Presentation (English),The 73rd Annual Scientific Meeting of
- 4 Long-term Clinical Follow-up of Patients after Percutaneous Transvenous Mitral Commissurotomy : Single-center Experience over 20 Years(Advances in the Catheter Intervention for Non-coronary Heart Diseases,Topic 5 (TP-5) (M),The 73rd Annual Scientific Me
- 5 Alcohol Septal Ablation for Intra-left Ventricular Obstruction for Drug Refractory Severe Symptoms(Hypertrophic Cardiomyopathy -New Insights into Clinical Course and Management-,ESC-JCS Joint Symposium (ESC-JCS Joint Symposium) (A),The 73rd Annual Scien
- COMPARISON OF THE PROGNOSIS IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION WITH AND WITHOUT VENTRICULAR TACHYCARDIA : Arrhythmias (I), Electrophysiology (II) : III : 48 Annual Scientific Meeting, Japanese Circulation Society
- PE-440 The Incidence of Perioperative Complete Atrioventricular Block Associated with Percutaneous Transluminal Septal Myocardial Ablation and the Indication of Permanent Pacemaker(PE074,Cardiomyopathy/Hypertrophy (Clinical) 2 (M),Poster Session (English)
- Enhanced central chemosensitivity reflects the anaerobic metabolism alteration during exercise in heart disease patients with impaired exercise capacitiy
- Cleaning of a Stainless Steel Surface Fouled with Protein Using a UV-H_2O_2 Technique
- Characteristics of α-Glucosidase Production from Recombinant Aspergillus oryzae by Membrane-Surface Liquid Culture in Comparison with Various Cultivation Methods(MICROBIAL PHYSIOLOGY AND BIOTECHNOLOGY)
- Production of Nonproteinaceous Amino Acids Using Recombinant Escherichia coli Cells Expressing Cysteine synthase and Related Enzymes with or without the Secretion of O-Acetyl-L-Serine (MICROBIAL PHYSIOLOGY AND BIOTECHNOLOGY)
- PJ-401 Comparison of Upstream Therapies for Paroxysmal Atrial Fibrillation in Patients without Overt Heart Diseases(Arrhythmia, therapy(20)(A),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PE-282 Management of Ventricular Tachyarrhythmia following PTSMA : Characteristics in Highly Risked HOCM Whom Indicated both PTSMA and ICD-implantation, is PTSMA harmful?(Cardiomyopathy, basic/clinical(04)(M),Poster Session(English),The 72nd Annual Scient
- A Prospective Study on the Risk-Stratification for Patients With Non-Sustained Ventricular Tachycardia Using a Novel Algorithm
- Significance of Decrement in Ascorbic Acid Concentration in Patients with Acute Myocardial Infarction Different from the Other Oxidative Stress Markers(Acute Myocardial Infarction, Clinical (Diagnosis/Treatment) 9 (IHD), The 69th Annual Scientific Meeting
- Prognosis of Economy Class Syndrome Treated in Intensive Care Unit
- Purulent Pericarditis With Tamponade Caused by Salmonella Enteritidis
- PE-465 Type 5 Adenylyl Cyclase Hampers Desensitization of cAMP Signal to Attenuate Akt Signal and Myocyte Viability in the Heart(Heart failure, basic-3 (M) PE78,Poster Session (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circul
- PE-171 Plasma Urotensin II in Patient with Acute Haert Failure(Heart Failure, Clinical 5 (M) : PE29)(Poster Session (English))
- Abnormal High Frequency Potentials in Brugada Syndrome Detected by Wavelet Transformed Electrocardiograms
- -41-ALTERATIONS IN THE INITIAL PORTION POTENTIALS OF THE SIGNAL-AVERAGED QRS COMPLEX IN MYOCARDIAL INFARCTION WITH AND WITHOUT VENTRICULAR TACHYARRHYTHMIA : ECG, Mapping : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE J
- Clinical Outcome and Quality of Life of Octogenarian Patients Following Percutaneous Coronary Intervention or Surgical Coronary Revascularization
- Rate-Responsive Pacemaker Mode Benefits Stroke Rehabilitation Patients with Orthostatic Hypotension : Two Cases of Cardiogenic Cerebral Infarction
- FRS-045 Favorable Occurrence of Procedure Related PTSMA Complication in Consecutive 100 Cases : NMS Single Center Experience(Therapeutic Strategies for Cardiovascular Disease, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PE-448 Evidence for the causative role of oxidative stress in the development of contrast-induced nephropathy in patients with chronic kidney disease.(Kidney/Renal circulation(04)(H),Poster Session(English),The 72nd Annual Scientific Meeting of the Japane
- Effects of Chronic Beta-Adrenergic Receptor Stimulation in Type 5 Adenylyl Cyclase-Null Mice(Heart Failure, Basic 1 (M), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- PE-094 β-adrenergic and Muscarinic Regulation of the Heart Requires Type 5 Adenylyl Cyclase(Autonomic Nervous System 1 (H) : PE16)(Poster Session (English))
- OE-109 Disruption of the Type 5 Adenylyl Cyclase Gene Preserves Cardiac Function Against Pressure Overload(Heart Failure, Basic 1 (M) : OE13)(Oral Presentation (English))
- Effects of Carperitide on the Long-Term Prognosis of Patients With Acute Decompensated Chronic Heart Failure : The PROTECT Multicenter Randomized Controlled Study
- PE-281 Relationship between B-type Natriuretic Peptide Response during Exercise and Functional Capacity in Patients with Hypertrophic Obstructive Cardiomyopathy(Cardiomyopathy, basic/clinical(04)(M),Poster Session(English),The 72nd Annual Scientific Meeti
- Effect of Oligosaccharides on Glucose Consumption by Rhodobacter sphaeroides in Polyhydroxyalkanoate Production from Enzymatically Treated Crude Sago Starch
- Effect of Organic Acid Profiles during Anaerobic Treatment of Palm Oil Mill Effluent on the Production of Polyhydroxyalkanoates by Rhodobacter sphaeroides
- 4 Cost Effective Analysis on Percutaneous Alcohol Septal Myocardial Ablation for Drug Refractory Hypertrophic Obstructive Cardiomyopathy : Was Advantage Preserved as Presumed Prediction at the Approval in Government Health Insurance?(Economic Aspects of C
- Acetic Acid Separation from Anaerobically Treated Palm Oil Mill Effluent by Ion Exchange Resins for the Production of Polyhydroxyaikanoate by Alcaligenes eutrophus
- OE-137 Characteristics of Exercise Induced Abnormal Blood Pressure Response in Patients with Hypertrophic Obstructive Cardiomyopathy(OE23,Heart Failure (Pathophysiology) (M),Oral Presentation (English),The 73rd Annual Scientific Meeting of The Japanese Ci
- Pathophysiological Analysis of Serum Troponin T Release Kinetics in Evolving Ischemic Myocardial Injury
- Adsorption Characteristics of Tryptic Fragments of Bovine β-Lactoglobulin on a Stainless Steel Surface
- Fouling and Cleaning of Stainless Steel Surface : Adsorption and Desorption Behavior of Bovine Serum Albumin and Gelatin
- Performance of Protease as a Cleaning Agent for Stainless Steel Surfaces Fouled with Protein
- Comparative Study on Caustic and Enzymatic Cleanings of Stainless Steel Surface Fouled with β-Lactoglobulin
- Adsorption of β-Lactoglobulin onto the Surface of Stainless Steel Particles
- The Production of Polyhydroxyalkanoate from Anaerobically Treated Palm Oil Mill Effluent by Rhodobacter sphaeroides
- Myocardial Perfusion/Metabolism Abnormalities and Therapeutic Effects at the Site of Minor Myocardial Damage in Patients with Redefined Myocardial Infarction
- Evaluation of Effects of Antiarrhythmics on Ventricular Premature Contraction : Pharmacology and Clinical Evaluation of Antiarrhythmic Drugs
- On the Adsorption of Proteins on Solid Surfaces, a Common but Very Complicated Phenomenon
- Analysis of Monoglyceride Synthetic Reaction in a Solvent-Free Two-Phase System Catalyzed by a Monoacylglycerol Lipase from Pseudomonas sp.LP7315
- Purification and Characterization of a Monoacylglycerol Lipase from Pseudomonas sp.LP7315
- Characteristics of Serine Acetyltransferase from Escherichia coli Deleting Different Lengths of Amino Acid Residues from the C-Terminus
- Effects of Bienzyme Complex Formation of Cysteine Synthetase from Escherichia coli on Some Properties and Kinetics
- Kinetic Analysis of Synthesis of a Dipeptide Precursor Using an Immobilized Enzyme in Water-Immiscible Organic Solvents
- Kinetics and Equilibrium for Thermolysin-Catalyzed Syntheses of Dipeptide Precursors in Aqueous/Organic Biphasic Systems
- Development of Novel Advanced Oxidation System Using Combined UV/H_2O_2 Technique and Kinetic Analysis for Decomposition of Dye Solutions
- Analysis for Partition Equilibrium of Amino Acid Derivatives in Aqueous/Organic Biphasic Systems
- Production of Kojic Acid by Membrane-Surface Liquid Culture of Aspergillus oryzae NRRL484
- Production of Neutral Protease by Membrane-Surface Liquid Culture of Aspergillus oryzae IAM2704
- Chromatographic Separation of Galactosylkojic Acid
- Enzymatic Synthesis of Galactosylkojic Acid with Immobilized β-Galactosidase from Bacillus circulans
- Some Factors Affecting the Formation of γ-Cyclodextrin Using Cyclodextrin Glycosyltransferase from Bacillus sp. AL-6
- Purification and Properties of Cyclodextrin Glycosyltransferase from Bacillus sp. AL-6
- Systemic ATP infusion improves spontaneous pain and tactile allodynia, but not tactile hypesthesia, in patients with postherpetic neuralgia
- Lipase-Catalyzed Synthesis of Monolauroyl Maltose through Condensation of Maltose and Lauric Acid
- Condensation of L-Ascorbic Acid and Medium-Chain Fatty Acids by Immobilized Lipase in Acetonitrile with Low Water Content
- Development of Cylindrical Apparatus for Membrane-Surface Liquid Culture and Production of Kojic Acid Using Aspergillus oryzae NRRL484
- Effect of Nasal Continuous Positive Airway Pressure on Pulmonary Edema Complicating Acute Myocardial Infarction
- -475- CARDIOVASCULAR EFFECTS AND LIMITATION OF PGI_2 ANALOGUE (CS-570) IN PATIENTS WITH EARLY STAGE AMI
- -528- INCIDENCE AND CLINICAL FEATURES OF COEXISTED PERIPHERAL OR CAROTID ARTERY DISEASE IN PATIENTS WITH CORONARY ARTERY DISEASE
- The Establishment of the Snoring and OSA Clinic in Tsurumi UNIV. School of Dental Medicine
- Synthesis of Peptides Consisting of Essential Amino acids by a Reactor System Using Three Proteinases and an Organic Solvent(Microbiology & Fermentation Industry)
- FRS-018 The Type 5 Adenylyl Cyclase Mediates Ca^-mediated Regulation of Ca^ channels in the Heart(Cardiac Hypertrophy (M) : FRS3)(Featured Research Session (English))
- Enzymatic Synthesis of β-Lactam Antibiotics and N-Fatty-Acylated Amino Compounds by the Acyl-Transfer Reaction Catalyzed by Penicillin V Acylase from Streptomyces mobaraensis
- Filtration Characteristics and Structure of Cake in Crossflow Filtration of Bacterial Suspension
- 6 PTSMA for HOCM : Current Understanding(Advances in the Catheter Intervention for Non-coronary Heart Diseases,Topic 5 (TP-5) (M),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- Adsorption Characteristics of Various Proteins to a Titanium Surface(BIOCHEMICAL ENGINEERING)
- Effects of Calcium Antagonists, Especially Nifedipine, on Variant Angina, Resting Angina, and Unstable Angina
- Angiographic response to a vasodilating drug, nicorandil, in patients with coronary artery disease.
- Factors influencing the clinical course and the long-term prognosis of patients with variant angina.
- Current Venous Thromboembolism Management and Outcomes in Japan:– Nationwide The Japan Venous Thromboembolism Treatment Registry Observational Study –
- Chest-Compression-Only Bystander Cardiopulmonary Resuscitation in the 30:2 Compression-to-Ventilation Ratio Era : Nationwide Observational Study