Preoperative Management of Deteriorating Mitral Regurgitation and Heart Failure with Continuous Positive Airway Pressure
スポンサーリンク
概要
- 論文の詳細を見る
A 75-year-old Japanese woman with acute mitral valve prolapse and regurgitation, that developed one month previously, suffered from intractably progressive congestive heart failure (CHF). However, the emergent surgery was declined, and pharmacological treatment was discontinued due to hypotension and malignant arrhythmia. She was treated with 5-8 cmH2O of continuous positive airway pressure (CPAP) to manage CHF and Cheyne-Stokes respiration during the preoperative period of five weeks, after which plastic surgery of the mitral valve was successfully performed. CPAP can be an effective non-pharmacological treatment for CHF, unloading the left ventricle hydrostatically in order to reduce mitral regurgitation and improve oxygenation.
著者
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Shimizu Yuuki
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Murohara Toyoaki
Department Of Cardiology Nagoya Graduate School Of Medicine
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Tanahashi Tamotsu
Department of Cardiology, Suzuka National Hospital, Japan
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Shimizu Yuuki
Department of Cardiology, Nagoya University Graduate School of Medicine, Japan
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Yasuma Fumihiko
Department of Cardiology, Suzuka National Hospital, Japan
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Yasuma Fumihiko
Department of Cardilogy, Nagoya University, Graduate School of Medicine
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Mori Toshimitsu
Department of Cardiology, Suzuka National Hospital, Japan
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