Successfully treated respiratory failure and pulmonary hypertension caused by Pickwickian syndrome with nasal bilevel positive airway pressure ventilation
スポンサーリンク
概要
- 論文の詳細を見る
A 36-year-old women (height 157cm, weight 114kg, body mass index 46.2kg/㎡) with intolerable sleepiness and cyanosis was diagnosed with respiratory failure caused by Pickwickian syndrome. Echocardiography showed normal left ventricular systolic function and moderate pulmonary hypertension. Pulmonary artery systolic pressure was estimated at 50mmHg with doppler echocardiography. Oxygen inhalation and diuretics were started. Althouth the patient was treated with nasal continuous positive airway pressure ventilation, her hypoxemia and hypercapnia did not improve. Bilevel positive airway pressure ventilation with inspiratory pressure 10cmH2O and expiratory pressure 2cmH2O was quite effective in improving hypoxemia and hypercapnia, and pulmonary hypertension had disappeared at the discharge.
- Yamaguchi University Graduate School of Medicineの論文
著者
-
Harada Nozomu
The Department of Cardiovascular Medicine, Yamaguchi University Graduate School of Medicine
-
Kimura Masayasu
綜合病院社会保険徳山中央病院 循環器内科
-
Kimura Masayasu
Division Of Cardiology Tokuyama Central Hospital
-
Kanemoto Masashi
滋賀医科大学 呼吸循環器内科
-
Dairaku Yuka
Division Of Cardiovascular Medicine Department Of Medical Bioregulation Yamaguchi University School
-
Dairaku Yuka
Department Of Cardiovascular Medicine Medical Bioregulation Yamaguchi University School Of Medicine
-
Harada Nozomu
The Department Of Cardiovascular Medicine Yamaguchi University Graduate School Of Medicine
-
Harada Masahiko
Division Of Cardiovascular Medicine Department Of Medical Bioregulation Yamaguchi University School
-
Dairaku Yuka
山口大学 循環器病態内
-
Takata Satoko
Division Of Cardiovascular Medicine The Department Of Medical Bioregulation Yamaguchi University Sch
-
Mitani Reo
Division Of Cardiovascular Medicine Department Of Medical Bioregulation Yamaguchi University School
-
Dairaku Yuka
Division Of Cardiovascular Medicine The Department Of Medical Bioregulation Yamaguchi University Sch
-
Kimura Masahiro
Division Of Cardiovascular Medicine The Department Of Medical Bioregulation Yamaguchi University Sch
関連論文
- Cardio-Ankle Vascular Index is a New Noninvasive Parameter of Arterial Stiffness
- Carvedilol Inhibits Mitochondrial Oxygen Consumption and Superoxide Production During Calcium Overload in Isolated Heart Mitochondria
- FRS-015 Heart Derived Stem Cell Multipotency and Engraftment in Cardiac Specific TNF Transgenic Heart Failure Mice(Angiogenesis and Regeneration Medicine in Cardiovascular Medicine (M) : FRS3)(Featured Research Session (English))
- Distinct mechanisms of mitochondrial ATP sensitive K channel opening by Nicorandil and Diazoxide, dependence of PKC activation
- Effect of Ischemic Preconditioning and Mitochondrial K_ Channel Openers on Chronic Left Ventricular Remodeling in the Ischemic-Reperfused Rat Heart
- Evaluation of Left Atrial Function by the Functional Volume Change Curve Derived From Doppler Flow Spectra
- PJ-256 Impact of Contemporary Medical Treatments on the Left Ventricular Remodeling after Acute Myocardial Infarction Treated by Acute Reperfusion Therapy(PJ043,ACS/AMI (Clinical/Treatment) 2 (IHD),Poster Session (Japanese),The 73rd Annual Scientific Meet
- PJ-890 Increased Intima-Media Volume of the Radial Artery in Diabetes Mellitus after Trans-radial Intervention : A serial Intravascular Ultrasound Study(Intravascular endoscopy / Intravascular ultrasound(08)(I),Poster Session(Japanese),The 72nd Annual Sci
- PJ-507 Long-term Effects of Spironolactone on Ventricular Conduction and Remodeling in Patients with Heart Failure(Heart failure, clinical(17)(M),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-389 Prevalence of Atherosclerosis of the Radial Artery as a Conduit for CABG : Clinical Application by an Intravascular Ultrasound Study(Intravascular endoscopy/Intravascular ultrasound-6, The 71st Annual Scientific Meeting of the Japanese Circulation
- OJ-132 The Effects of Pitavastatin on Oxidized Low-density Lipoprotein and High Sensitive C-reactive Protein in Hypercholesterolemic Patients(Atherosclerosis, clinical-03, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Effects of Flecainide on the Electrophysiological Properties of Atrial Vulnerability in Humans
- Factors Related to Threshold of Intra -Cardiac Atrial- Defibrillation : Excitable Period Obtained by Using Autocorrelogram
- Cardio-Ankle Vascular Index Is Superior to Brachial-Ankle Pulse Wave Velocity as an Index of Arterial Stiffness
- Effects of In Vivo Gene Transfer of Fibroblast Growth Factor-2 on Cardiac Function and Collateral Vessel Formation in the Microembolized Rabbit Heart
- Relative Usefulness of Measures of Heart Rate Variability and Neuroendocrine Activity as Indicators of Autonomic Nervous Abnormality in Patients With Left Ventricular Dysfunction
- Ventricular Conduction in Idiopathic Ventricular Fibrillation without Right Precordial ST Elevation : Comparative Study with Brugada Syndrome
- Determination of the refractory period during atrial fibrillation using autocorrelation function, and the observation of excitable gap during pharmacological cardioversion
- Comparison of the electorphysiological effect on atrial myocardium between Ic antiarrythmic drugs, pilsicainide and flecainide
- Effect of Low-Intensity Warfarin Therapy on Left Atrial Thrombus Resolution in Patients With Nonvalvular Atrial Fibrillation : A Transesophageal Echocardiographic Study
- Beta-Blocker Decreases the Increase in QT Dispersion and Transmural Dispersion of Repolarization Induced by Bepridil
- Tricuspid Pouch can Cause Systemic Embolization in Adulthood
- PJ-319 Effects of Spironolactone on Atrial and Ventricular Conductions in Patients with Heart Failure(Arrhythmia, therapy-15 (A) PJ54,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-190 Prevalence of Atherosclerosis of the Radial Artery as a Conduit for CABG : Clinical Application by an Intravascular Ultrasound Study(Cardiovascular surgery/CABG-1 (IHD) OJ32,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meetin
- Does the Inflammatory Reaction Affect the Coronary Arterial Remodeling in Patients with Unstable Angina Pectoris? : Multivariate Analysis Study (Intravascular Endoscopy/Intravascular Ultrasound 2 (I), The 69th Annual Scientific Meeting of the Japanese Cir
- Cardio Ankle Vascular Index is a New Non-invasive Method to Estimate Arterial Stiffness(Atherosclerosis, Clinical 4 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Determinants Effecting Intima-Media Volume of the Radial Artery in Patients with Coronary Artery Disease : An Intravascular Volumetric Study(Peripheral Circulation/Vascular Disease 1 (H), The 69th Annual Scientific Meeting of the Japanese Circulation Soci
- Atrial and Brain Natriuretic Peptides and D-dimer are Useful Parameters Predicting Left Atrial Appendage Function in Patients with Atrial Fibrillation(Neurohumoral Factors 1 (H), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-337 Radial artery spasm is an important factor for the radial artery injury after transradial intervention (TRI) : An IVUS study(Peripheral Circulation/Vascular Disease 2(H) : PJ56)(Poster Session (Japanese))
- PJ-124 Left Ventricular Mass Index in Patients with Hypertension is a Most Important Factor to Affect Brain Natriuretic Peptide(Hypertension, Clinical 3 (H) : PJ21)(Poster Session (Japanese))
- OJ-404 Impact of Inflammatory Reaction on the Coronary Arterial Remodeling in Patients with Unstable Angina Pectoris : an Intravascular Ultrasound Study(Intravascular Endoscopy/Intravascular Ultrasound 5 (I) : OJ49)(Oral Presentation (Japanese))
- Effect of Long-Term Beta-Blocker Therapy on Microvolt-Level T-Wave Alternans in Association With the Improvement of the Cardiac Sympathetic Nervous System and Systolic Function in Patients With Non-Ischemic Heart Disease
- Effect of β-Blocker Therapy for T-Wave Alternans and Cardiac Function in Patients with Non-Ischemic Heart Disease
- The Relationship between T-Wave Alternans and Myocardial Ischemia Studied Using Tc-99m Myocardial Perfusion Imaging in Patients with Old Myocardial Infarction
- THE MECHANISM OF MYOCARDIAL THALLIUM UPTAKE AFTER REINJECTION
- Excessive Ventilatory Response During Exercise in Patients With Non-Hypoxic Pulmonary Hypertension
- Successfully treated respiratory failure and pulmonary hypertension caused by Pickwickian syndrome with nasal bilevel positive airway pressure ventilation
- Effects of mineralocorticoid receptor antagonist spironolactone on atrial conduction and remodeling in patients with heart failure