Adaptive servo ventilation improves cardiac pre and after load in heart failure patients with Cheyne-Stokes respiration
|
|
- Nora Bridges
- 6 years ago
- Views:
Transcription
1 Adaptive servo ventilation improves cardiac pre and after load in heart failure patients with Cheyne-Stokes respiration Makiko Miyata, Akiomi Yoshihisa, Takamasa Sato, Satoshi Suzuki, Koichi Sugimoto, Hiroyuki Kunii, Kazuhiko Nakazato, Hitoshi Suzuki, Shu-ichi Saitoh, Yasuchika Takeishi Department of Cardiology and Hematology Department of Advanced Cardiac Therapeutics Fukushima Medical University, Japan
2 Background Benefical effects of non-invasive ventilation in acute heart failure has been recognized. In chronic heart failure (CHF), adaptive servo ventilation (ASV) has been used for CHF with Cheyne-Stokes respiration (CSR). However, its acute effect on LV mechanics still remains unclear. Yoshihisa A, et al. Int Heart J 52: , 2011 Cul-Lian W, et al. Ann Inter Med. 152: ,2010 Kasai T, et al. Circ Heart Fail. 3:140-8,2010 Phillippe C, et al. HEART 92: ,2006 Arzt M, et al. Circulation 115: ,2007 Oldenburg O, et al. Eur J Heart Fail. 10: ,2008
3 Purpose The aim of this study was to examine acute effects of ASV on LV mechanics in CHF with Cheyne-Stokes respiration by impedance cardiography (ICG).
4 Methods Hospitalization (ADHF or CHF) Optimize Medication Device therapy Polysomnography CSA-CSR (AHI>15/h, CSA>50%) ASV under ICG monitoring Thirty seven patients with CHF and CSR (mean age 65.1 years, mean ejection fraction 39.5%, mean brain natriuretic peptide (BNP) pg/ml, mean apnea hypopnea index (AHI) 38.2 times/hr, mean central apnea index (CAI) 20.4 times/hr) were enrolled in this study. We introduced adaptive servo ventilation (ASV) under Impedance Cardiography (ICG) monitoring for 10 min before, on ASV and after ASV.
5 Algorithm Pressure (cm H 2 O) Adaptive servo ventilation Normal breath central apnea PS EEP central apnea hypopnea ASV Device VPAP TM Adavt SV (Resmed/ Fukuda) AutoSet TM CS (Resmed/ Teijin) Setting EEP 5 cm H 2 O Min PS 3 cm H 2 O Max PS 10 cm H 2 O
6 Impedance Cardiography (ICG) Pre ASV 10 min Post Blood pressure (BP), heart rate (HR), oxygen saturation (SpO2), stroke volume (SV), cardiac output (CO), cardiac index (CI), SVR (systemic vascular resistance), SVRI, TFC (thoracic fluid content) Bio Z
7 Patient characteristics Age (years) 65.1±13.5 Male (n,%) 27, 73.0 BMI 24.9±4.3 SBP (mmhg) 107.6±23.4 DBP (mmhg) 67.5±14.3 HR (beats/min) 70.6±13.6 Rhythm Sinus (%) 19 (51.4) Atrial fiblitation (%) 18 (48.6) NYHA Functional class (Ⅰ/Ⅱs/Ⅱm/Ⅲ/Ⅳ) (0/6/16/14/1) Etiology Cardiomyopathy (%) 26 (70.3) Ischmic (%) 6 (16.2) Valve (%) 5 (13.5) Device Pacemaker (%) 3 (8.1) ICD (%) 2 (5.4) CRT (%) 12 (32.4)
8 Blood examination PaCO 2 (mmhg) 36.4 ±4.0 BNP (pg/ml) ±625.4 BUN (mg/dl) 22.4 ±9.3 Crea (mg/dl) 1.2 ±0.9 Na (meq/l) ±3.1 Estimated GFR (ml/min/1.73m 2 ) 59.9 ±22.5 Hb (g/dl) 12.8 ±2.2 TP (g/dl) 6.8 ±0.9 Alb (g/dl) 3.8 ±0.6 AST (IU/L) 30.5 ±17.9 ALT (IU/L) 27.8 ±18.6 TB (mg/dl) 1.0 ±0.5 DB (mg/dl) 0.2 ±0.2 TG (mg/dl) ±54.3 TC (mg/dl) ±44.2 LDL (mg/dl) 99.5 ±35.5 HDL (mg/dl) 43.0 ±15.5 HbA1c (%) 5.7 ±0.8
9 Echocardiography LVEDVI (ml/m 2 ) 82.1 ±31.6 LVESVI (ml/m 2 ) 52.9 ±28.6 EF (%) 39.5 ±15.0 LVMI (g/m 2 ) ±55.5 E Dct (msec) ±74.5 E/e' 13.1 ±7.2 LAVI (ml/m 2 ) 47.3 ±24.0 RVPS (mmhg) 39.9 ±19.3 LVEDVI, Left ventricular end diastolic volume index; LVESVI, Left ventricular end systolic volume index; EF, Ejection fraction; LVMI, Left ventricular mass index; E Dct, LV inflow E wave deceleration time; LAVI, Left atrial volume index; RVPs, Right ventricular systolic pressure
10 Polysomnography AHI (times/h) 38.2 ±17.3 CAI (times/h) 20.4 ±13.8 CAI/AHI (%) 53.4 Obstructive apnea index (OAI; times/h) 4.1 ±5.9 Arousal index (times/h) 23.8 ±10.5 3%Oxidative desaturation index (ODI) 25.5 ±17.1 Min SPO 2 (%) 80.1 ±9.8 Mean SPO 2 (%) 95.0 ±2.8 CT 90 (%) 12.2 ±17.1 CT 95 (%) 38.3 ±31.0 Slow wave sleep (SWS; %) 3.3 ±6.1 REM (%) 17.8 ±7.3 Sleep efficacy (SE; %) 63.9 ±13.8
11 Acute effect of ASV on blood pressure Systolic blood pressure Diastolic blood pressure (mmhg) P<0.05 P<0.05 (mmhg)
12 Acute effect of ASV on heart rate and SPO 2 (bpm) Heart rate (%) SPO 2 P<0.01
13 Acute effect of ASV on stroke volume (ml) Stroke volume P<0.01
14 Acute effect of ASV on cardiac output (ml/min) Cardiac output P<0.01 (ml/min/m 2 ) Cardiac index P<0.05
15 Acute effect of ASV on vascular resistance Systemic vascular resistance (dyne sec cm- 5 ) (dyne sec cm- 5 /m 2 ) P<0.05 Systemic vascular resistance index P<0.01 P<0.05 P<0.05
16 Acute effect of ASV on thoracic fluid content Thoracic fluid content P<0.05
17 Results Stroke volume, cardiac index and SpO2 were significantly increased on ASV. In addition, systemic vascular resistance (SVR) and thoracic fluid content (TFC) were significantly decreased on ASV.
18 Conclusions We demonstrated that ASV has acute beneficial effects on LV pre and after load.
ORIGINAL ARTICLE. Heart Failure
Circulation Journal Official Journal of the Japanese Circulation Society http://www.j-circ.or.jp ORIGINAL ARTICLE Heart Failure A Single Night Beneficial Effects of Adaptive Servo-Ventilation on Cardiac
More informationMartin R Cowie Professor of Cardiology, National Heart & Lung Institute Imperial College London (Royal Brompton Hospital)
Treatment of Sleep-Disordered Breathing With Predominant Central Sleep Apnoea by Adaptive Servo Ventilation in Patients With Heart Failure and Reduced Ejection Fraction (SERVE-HF) Martin R Cowie Professor
More informationSleep Disordered Breathing and HH with Preserved Ejection Fraction:
Sleep Disordered Breathing and HH with Preserved Ejection Fraction: Pr Thibaud DAMY Heart Failure Unit Department of Cardiology CHU Mondor, Créteil, France Definition of HF-PEF The diagnosis of HF-PEF
More informationPortable Sleep Testing in Hospitalized Patients
1 Portable Sleep Testing in Hospitalized Patients Rami Khayat, MD Heart Failure AND Public Health 6 million Americans with heart failure (>2% population 20 million people with asymptomatic cardiac impairment
More informationChange of Exhaled Acetone Concentration Levels in Patients with Acute Decompensated Heart Failure A Preliminary Study
CLINICAL STUDY Change of Exhaled Acetone Concentration Levels in Patients with Acute Decompensated Heart Failure A Preliminary Study Tetsuro Yokokawa, 1 MD, Takamasa Sato, 1 MD, Satoshi Suzuki, 1 MD, Masayoshi
More informationSleep Disordered Breathing: Beware Snoring! Dr T A McDonagh Consultant Cardiologist Royal Brompton Hospital London. UK
Sleep Disordered Breathing: Beware Snoring! Dr T A McDonagh Consultant Cardiologist Royal Brompton Hospital London. UK Sleep Disordered Breathing in CHF Erratic breathing during sleep known for years e.g.
More informationEdoardo Gronda UO cardiologia e Ricerca Dipartimento Cardiovascolare IRCCS MultiMedica
Convegno Pneumologia 2016 Milano 16-18 giugno 2016 Centro Congressi Palazzo delle Stelline Edoardo Gronda UO cardiologia e Ricerca Dipartimento Cardiovascolare IRCCS MultiMedica Central apnea 10 second
More informationSleep and the Heart. Sleep Stages. Sleep and the Heart: non REM 8/31/2016
Sleep and the Heart Overview of sleep Hypertension Arrhythmias Ischemic events CHF Pulmonary Hypertension Cardiac Meds and Sleep Sleep Stages Non-REM sleep(75-80%) Stage 1(5%) Stage 2(50%) Stage 3-4*(15-20%)
More informationSGK 2016 Session: Postgraduate Course in Heart Failure Lausanne, 15. June 2016 Heart Failure Guidelines 2016
SGK 2016 Session: Postgraduate Course in Heart Failure Lausanne, 15. June 2016 Heart Failure Guidelines 2016 Matthias Nägele, MD University Hospital Zurich Disclosures I have nothing to disclose. The new
More informationClinical Investigations
Clinical Investigations Beneficial Effects of Positive Airway Pressure Therapy for Sleep-Disordered Breathing in Heart Failure Patients With Preserved Left Ventricular Ejection Fraction Address for correspondence:
More informationA Deadly Combination: Central Sleep Apnea & Heart Failure
A Deadly Combination: Central Sleep Apnea & Heart Failure Sanjaya Gupta, MD FACC FHRS Ohio State University Symposium May 10 th, 2018 Disclosures Boston Scientific: fellowship support, speaking honoraria
More informationImprovement in the treatment of heart failure results in progressive
Distinct Prognostic Factors in Patients With Chronic Heart Failure and Chronic Kidney Disease Takamasa Sato, 1 MD, Hiroyuki Yamauchi, 1 MD, Satoshi Suzuki, 1 MD, Akiomi Yoshihisa, 1 MD, Takayoshi Yamaki,
More informationComplex Sleep Apnea. Can we do better? David Weed D.O.,FCCP,FAASM. September 8, 2016
Complex Sleep Apnea Can we do better? David Weed D.O.,FCCP,FAASM September 8, 2016 If you don t know where you are going, you ll end up somewhere else. Yogi Berra Objectives Discuss what syndromes comprise
More informationImpedance Cardiography (ICG) Application of ICG for Hypertension Management
Application of ICG for Hypertension Management 1mA @ 100 khz Impedance Cardiography (ICG) Non-invasive Beat-to-beat Hemodynamic Monitoring Diastole Systole Aortic valve is closed No blood flow in the aorta
More informationPrevalence of heart failure in Turkish adult population: Results from Heart failure Prevalence and Predictors in TurkeY (HAPPY) study
Prevalence of heart failure in Turkish adult population: Results from Heart failure Prevalence and Predictors in TurkeY (HAPPY) study M. Degertekin, Ç. Erol O. Ergene, Ö. Kozan, B. Mutlu, E. Ilkay, E.
More informationImpedance Cardiography (ICG) Method, Technology and Validity
Method, Technology and Validity Hemodynamic Basics Cardiovascular System Cardiac Output (CO) Mean arterial pressure (MAP) Variable resistance (SVR) Aortic valve Left ventricle Elastic arteries / Aorta
More informationObrigada por ver esta apresentação. Lembramos que esta apresentação é propriedade do autor
Obrigada por ver esta apresentação Lembramos que esta apresentação é propriedade do autor É-lhe proporcionada pela Associação Portuguesa de Sono no contexto da Lufada 2016, para seu uso pessoal, tal como
More informationW J R. World Journal of Respirology. Effectiveness of adaptive servo-ventilation. Abstract REVIEW. Yasuhiro Tomita, Takatoshi Kasai
W J R World Journal of Respirology Submit a Manuscript: http://www.wjgnet.com/esps/ Help Desk: http://www.wjgnet.com/esps/helpdesk.aspx DOI: 10.5320/wjr.v5.i2.112 World J Respirol 2015 July 28; 5(2): 112-125
More informationE/Ea is NOT an essential estimator of LV filling pressures
Euroecho Kopenhagen Echo in Resynchronization in 2010 E/Ea is NOT an essential estimator of LV filling pressures Wilfried Mullens, MD, PhD December 10, 2010 Ziekenhuis Oost Limburg Genk University Hasselt
More informationTreatment of sleep apnea in heart failure patients after SERVE-HF results
Treatment of sleep apnea in heart failure patients after SERVE-HF results Martin R Cowie Professor of Cardiology National Heart & Lung Institute Imperial College London (Royal Brompton Hospital Campus)
More informationRest and Exercise Echocardiography in Hypertrophic Cardiomyopathy: Determinants of Exercise Peak Gradient and Predictors of Outcome
Rest and Exercise Echocardiography in Hypertrophic Cardiomyopathy: Determinants of Exercise Peak Gradient and Predictors of Outcome G. Deswarte, AS. Polge, N. Lamblin, A. Millaire, M. Richardson, C. Bauters,
More informationLeft ventricular diastolic function and filling pressure in patients with dilated cardiomyopathy
Left ventricular diastolic function and filling pressure in patients with dilated cardiomyopathy Bogdan A. Popescu University of Medicine and Pharmacy Bucharest, Romania My conflicts of interest: I have
More informationThe ACC Heart Failure Guidelines
The ACC Heart Failure Guidelines Fakhr Alayoubi, Msc,R Ph President of SCCP Cardiology Clinical Pharmacist Assistant Professor At King Saud University King Khalid University Hospital Riyadh-KSA 2017 ACC/AHA/HFSA
More informationCase Report Resolution of Periodic Breathing in a Child with Idiopathic Pulmonary Arterial Hypertension
Hindawi Case Reports in Pediatrics Volume 2017, Article ID 3280572, 5 pages https://doi.org/10.1155/2017/3280572 Case Report Resolution of Periodic Breathing in a Child with Idiopathic Pulmonary Arterial
More informationApnea-Hypopnea- Index The new old biomarker for Sleep-Disordered Breathing. Alan S Maisel MD
Apnea-Hypopnea- Index The new old biomarker for Sleep-Disordered Breathing Alan S Maisel MD Triumvirate of Health-public awareness 1.8% Sleep Physical Fitness Nutrition 91.3% 99.9% Sleep is important to
More informationBiPAPS/TVAPSCPAPASV???? Lori Davis, B.Sc., R.C.P.T.(P), RPSGT
BiPAPS/TVAPSCPAPASV???? Lori Davis, B.Sc., R.C.P.T.(P), RPSGT Modes Continuous Positive Airway Pressure (CPAP): One set pressure which is the same on inspiration and expiration Auto-PAP (APAP) - Provides
More informationAuto Servo Ventilation Indications, Basics of Algorithm, and Titration
Auto Servo Ventilation Indications, Basics of Algorithm, and Titration 1 ASV Learning Objectives Understand the indications for Auto Servo Ventilation Differentiate obstructive versus central hypopneas
More informationCPAP vs ASV for Heart Failure TSANZ, Gold Coast Matthew T. Naughton MD FRACP Melbourne, Australia. Outline
CPAP vs ASV for Heart Failure TSANZ, Gold Coast 2015 Matthew T. Naughton MD FRACP Melbourne, Australia Outline What is Adaptive Servo Controlled Ventilation (ASV)? Pressure and Volume Aetiology: Chronic
More informationThis study was supported in part by a research grant from the Fukuda Foundation for Medical Technology in Tokyo.
Short Term Effect of Adaptive Servo- Ventilation Compared with Continuous Positive Airway Pressure on Muscle Sympathetic Nerve Activity in Patients with Heart Failure This study was supported in part by
More informationClinical update of BiPAP autosv for treatment of Sleep Disordered Breathing
BiPAP autosv Advanced System One Authors: Dr. Teofilo Lee-Chiong, Medical Liaison, Philips Respironics Cheryl Needham, Senior Clinical Marketing Manager, Philips Respironics Bill Hardy, Senior Scientific
More informationTake-home Messages from Recent Heart Failure Trials: Heart Rate as a Target
Take-home Messages from Recent Heart Failure Trials: Heart Rate as a Target JEFFREY S. BORER, M.D. Professor and Chairman, Department of Medicine and Chief, Division of Cardiovascular Medicine; Director,
More informationAtrial dyssynchrony syndrome: An overlooked cause of heart failure with normal ejection fraction
Atrial dyssynchrony syndrome: An overlooked cause of heart failure with normal ejection fraction JC Eicher, G Laurent, O Barthez, A Mathé, G Bertaux, JE Wolf Heart Failure Treatment Unit, Rhythmology and
More informationEvaluation of Left Ventricular Diastolic Dysfunction by Doppler and 2D Speckle-tracking Imaging in Patients with Primary Pulmonary Hypertension
ESC Congress 2011.No 85975 Evaluation of Left Ventricular Diastolic Dysfunction by Doppler and 2D Speckle-tracking Imaging in Patients with Primary Pulmonary Hypertension Second Department of Internal
More informationImpedance Cardiography (ICG) Application of ICG in Intensive Care and Emergency
Impedance Cardiography (ICG) Application of ICG in Intensive Care and Emergency Aim of haemodynamic monitoring in ICU and ED Detection and therapy of insufficient organ perfusion Answers to common cardiovascular
More informationPulmonary hypertension (PH) is a rare disease characterized
Plasma Levels of Receptor for Advanced Glycation End-Products and High-Mobility Group Box 1 in Patients With Pulmonary Hypertension Summary Satoshi Suzuki, 1 MD, Kazuhiko Nakazato, 1 MD, Koichi Sugimoto,
More informationWhat s new in the 2017 heart failure guidelines. Prof.Dr.Mehmet Birhan YILMAZ, FESC, FACC, FHFA
What s new in the 2017 heart failure guidelines Prof.Dr.Mehmet Birhan YILMAZ, FESC, FACC, FHFA Key points to remember 2017 guidelines recommend using natriuretic peptides as biomarkers to screen for heart
More informationUPDATES IN MANAGEMENT OF HF
UPDATES IN MANAGEMENT OF HF Jennifer R Brown MD, MS Heart Failure Specialist Medstar Cardiology Associates DC ACP Meeting Fall 2017 Disclosures: speaker bureau for novartis speaker bureau for actelion
More informationEffects of heart rate reduction with ivabradine on left ventricular remodeling and function:
Systolic Heart failure treatment with the If inhibitor ivabradine Trial Effects of heart rate reduction with ivabradine on left ventricular remodeling and function: results of the SHIFT echocardiography
More informationImpact of Nicorandil on Renal Function in Patients With Acute Heart Failure and Pre-Existing Renal Dysfunction
Impact of Nicorandil on Renal Function in Patients With Acute Heart Failure and Pre-Existing Renal Dysfunction Masahito Shigekiyo, Kenji Harada, Ayumi Okada, Naho Terada, Hiroyoshi Yoshikawa, Akira Hirono,
More informationHeart Failure and Sleep Disordered Breathing (SDB) Unhappy Bedfellows
Question Heart Failure and Sleep Disordered Breathing (SDB) Unhappy Bedfellows 1 ResMed 2012 07 2 ResMed 2012 07 Open Airway 3 ResMed 2012 07 Flow Limitation Snore 4 ResMed 2012 07 Apnoea 5 ResMed 2012
More informationUpdates in Congestive Heart Failure
Updates in Congestive Heart Failure GREGORY YOST, DO JOHNSTOWN CARDIOVASCULAR ASSOCIATES 1/28/2018 Disclosures Edwards speaker on Sapien3 valves (TAVR) Stages A-D and NYHA Classes I-IV Stage A: High risk
More informationChronic NIV in heart failure patients: ASV, NIV and CPAP
Chronic NIV in heart failure patients: ASV, NIV and CPAP João C. Winck, Marta Drummond, Miguel Gonçalves and Tiago Pinto Sleep disordered breathing (SDB), including OSA and central sleep apnoea (CSA),
More informationPrevalence of Sleep Disordered Breathing in Congestive Heart Failure as Determined by ApneaLink, a Simplified Screening Device
Prevalence of Sleep Disordered Breathing in Congestive Heart Failure as Determined by ApneaLink, a Simplified Screening Device Susan R. Isakson, BS, 1 Jennifer Beede, BS, 1 Kevin Jiang, BS, 1 Nancy J.
More informationEffects of heart rate reduction with ivabradine on left ventricular remodeling and function:
Systolic Heart failure treatment with the If inhibitor ivabradine Trial Effects of heart rate reduction with ivabradine on left ventricular remodeling and function: results of the SHIFT echocardiography
More informationNovel pathophysiological concepts for the development and impact of sleep apnea in CHF.
Olaf Oldenburg Novel pathophysiological concepts for the development and impact of sleep apnea in CHF. Sleep apnea the need to synchronize the heart, the lung and the brain. Heart Failure 2011 Gothenburg,
More informationCardiorespiratory Coordination in Cheyne-Stokes Respiration
Cardiorespiratory Coordination in Cheyne-Stokes Respiration a case study P. Granitza, H. Krause, J.F. Kraemer and N. Wessel Cardiovascular Physics, Department of Physics, Humboldt-Universität zu Berlin
More informationDr. Dermot Phelan MB BCh BAO PhD European Society of Cardiology 2012
Relative Apical Sparing of Longitudinal Strain Using 2- Dimensional Speckle-Tracking Echocardiography is Both Sensitive and Specific for the Diagnosis of Cardiac Amyloidosis. Dr. Dermot Phelan MB BCh BAO
More informationAn Integrated Approach to Study LV Diastolic Function
An Integrated Approach to Study LV Diastolic Function Assoc. Prof. Adriana Ilieşiu, FESC University of Medicine Carol Davila Bucharest, Romania LV Diastolic Dysfunction impaired relaxation (early diastole)
More informationSleep Apnea and chronic Heart Failure
ESC CONGRESS 2012 Sleep Apnea and chronic Heart Failure Prof. Dr. med. Michael Arzt Schlafmedizinisches Zentrum Klinik und Poliklinik für Innere Medizin II Universitätsklinikum Regensburg michael.arzt@klinik.uni-regensburg.de
More informationSupplementary Online Content. Abed HS, Wittert GA, Leong DP, et al. Effect of weight reduction and
1 Supplementary Online Content 2 3 4 5 6 Abed HS, Wittert GA, Leong DP, et al. Effect of weight reduction and cardiometabolic risk factor management on sympton burden and severity in patients with atrial
More informationPulmonary Artery Diameter Predicts Lung Injury After Balloon Pulmonary Angioplasty in Patients With Chronic Thromboembolic Pulmonary Hypertension
Pulmonary Artery Diameter Predicts Lung Injury After Balloon Pulmonary Angioplasty in Patients With Chronic Thromboembolic Pulmonary Hypertension Summary Koichi Sugimoto, 1,2 MD, Kazuhiko Nakazato, 1 MD,
More informationLeft Ventricular Dysfunction Without Brain Natriuretic Peptide Elevation:
J Cardiol 2007 Mar; 49 3 : 149 153 2 Left Ventricular Dysfunction Without Brain Natriuretic Peptide Elevation: Two Case Reports Yuko Hajime Tomoharu Yasumichi Takeya Shunsuke Shohei Shuji Junichi TOGANE,
More informationHeFSSA Practitioners Program 2017 Theme The Patient Journey: Feel Good and Live Long. Case Study 2
HeFSSA Practitioners Program 2017 Theme The Patient Journey: Feel Good and Live Long Case Study 2 HEART FAILURE WITH MID-RANGE EJECTION FRACTION TREATMENT OPTIONS CLINICAL CASE MEDICAL HISTORY 59-year-old
More informationCASE REPORT. Abstract. Introduction. Case Report. Hiroshi Ono 1, Hiroyuki Fujimoto 2, Yoshinori Kobayashi 2, Shoji Kudoh 1 and Akihiko Gemma 1
CASE REPORT Sleep Apnea Syndrome: Central Sleep Apnea and Pulmonary Hypertension Worsened during Treatment with Auto-CPAP, but Improved by Adaptive Servo-Ventilation Hiroshi Ono 1, Hiroyuki Fujimoto 2,
More informationThe right heart: the Cinderella of heart failure
The right heart: the Cinderella of heart failure Piotr Ponikowski, MD, PhD, FESC Medical University, Centre for Heart Disease Clinical Military Hospital Wroclaw, Poland none Disclosure Look into the Heart
More informationValue of echocardiography in chronic dyspnea
Value of echocardiography in chronic dyspnea Jahrestagung Schweizerische Gesellschaft für /Schweizerische Gesellschaft für Pneumologie B. Kaufmann 16.06.2016 Chronic dyspnea Shortness of breath lasting
More informationDisclosure Information : No conflict of interest
Intravenous nicorandil improves symptoms and left ventricular diastolic function immediately in patients with acute heart failure : a randomized, controlled trial M. Shigekiyo, K. Harada, A. Okada, N.
More informationSlide 1. Slide 2 Declaration of Interests. Slide 3. Case study #1. Heart Failure and Sleep Apnoea. 47 year old BMI 32 Treated HBP Type 2 DM
Slide 1 Heart Failure and Sleep Apnoea Martin R Cowie MD MSc FRCP FRCP (Ed) FESC Professor of Cardiology, Imperial College London m.cowie@imperial.ac.uk @ProfMartinCowie Slide 2 Declaration of Interests
More informationAcute kidney injury and outcomes in acute decompensated heart failure in Korea
Acute kidney injury and outcomes in acute decompensated heart failure in Korea Mi-Seung Shin 1, Seong Woo Han 2, Dong-Ju Choi 3, Eun Seok Jeon 4, Jae-Joong Kim 5, Myeong-Chan Cho 6, Shung Chull Chae 7,
More informationΜαρία Μπόνου Διευθύντρια ΕΣΥ, ΓΝΑ Λαϊκό
Μαρία Μπόνου Διευθύντρια ΕΣΥ, ΓΝΑ Λαϊκό Diastolic HF DD: Diastolic Dysfunction DHF: Diastolic HF HFpEF: HF with preserved EF DD Pathophysiologic condition: impaired relaxation, LV compliance, LV filling
More informationChoosing the Appropriate Mode of PAP Therapy in the Perioperative Setting
Choosing the Appropriate Mode of PAP Therapy in the Perioperative Setting Lisa F. Wolfe MD Northwestern University Chicago, Illinois Choosing the Appropriate Mode of PAP Therapy in the Perioperative Setting
More informationThe Treatment of Complex Central Sleep Apnea (CompCSA)
The Treatment of Complex Central Sleep Apnea (CompCSA) Including Cheyne-Stokes Breathing (CSB), with Respironics BiPAP autosv Advanced therapy system Authors: Shahrokh Javaheri, MD 1, Mark Goetting, MD
More informationBest Match. Non-Invasive Ventilation. WSS Fall Objectives. BiPAP AVAPS Patient Types 9/10/2018. Advanced Algorithms - Clinical Applications
WSS Fall 2018 Advanced Algorithms - Clinical Applications Average Volume Assured Ventilation (AVAPS) Auto Servo Ventilation (SV) Hank Hart BS, LPN Objectives Differentiate between BiPAP AVAPS and BiPAP
More informationHEMODYNAMIC ASSESSMENT
HEMODYNAMIC ASSESSMENT INTRODUCTION Conventionally hemodynamics were obtained by cardiac catheterization. It is possible to determine the same by echocardiography. Methods M-mode & 2D echo alone can provide
More informationThe new Guidelines: Focus on Chronic Heart Failure
The new Guidelines: Focus on Chronic Heart Failure Petros Nihoyannopoulos MD, FRCP, FESC Professor of Cardiology Imperial College London and National & Kapodistrian University of Athens 2 3 4 The principal
More informationCardiac devices beyond pacemaker and ICD Prof. Dr. Martin Borggrefe
Cardiac devices beyond pacemaker and ICD Prof. Dr. Martin Borggrefe Mannheim CRT studies Patient selection CRT: NYHA III-IV, EF 35%, SR, QRS 120ms, LVEDD>55mm (25-45)% Non-Responder The Concept: Cardiac
More informationIn acute decompensated heart failure (ADHF), reduction of
Vasopressin V 2 Receptor Antagonist Tolvaptan Is Effective in Heart Failure Patients With Reduced Left Ventricular Systolic Function and Low Blood Pressure Satoshi Suzuki, 1 MD, Akiomi Yoshihisa, 1 MD,
More informationTaking the FAILURE out of CHF Denzil Moraes, MD, FACC
Taking the FAILURE out of CHF Denzil Moraes, MD, FACC Our Lady of the Lake Heart & Vascular Institute CHAIR Heart Failure Committee The Burden of Heart Failure Prevalence of Heart Failure ~ Currently 5.7
More informationResearch Article Improvement of Oxygen Saturation Levels is Associated with Response to Adaptive Servo- Ventilation Therapy in Heart Failure Patients
IBIMA Publishing JMED Research http://www.ibimapublishing.com/journals/jmed/jmed.html Vol. 2014 (2014), Article ID 188674, 12 pages Research Article Improvement of Oxygen Saturation Levels is Associated
More informationDATE: 07 August 2012 CONTEXT AND POLICY ISSUES
TITLE: Adaptive Servo Ventilation versus Continuous or Bi-Level Positive Airway Pressure: A Review of the Clinical Effectiveness, Cost-Effectiveness and Guidelines DATE: 07 August 2012 CONTEXT AND POLICY
More informationHFpEF. April 26, 2018
HFpEF April 26, 2018 (J Am Coll Cardiol 2017;70:2476 86) HFpEF 50% or more (40-71%) of patients with CHF have preserved LV systolic function. HFpEF is an increasingly frequent hospital discharge. Outcomes
More informationOLOMOUC I Study M. Táborský, M. Lazárová, J. Václavík, D. Richter ESC 2012, Munich,
The effect of renal denervation in patients with advanced heart failure: OLOMOUC I Study M. Táborský, M. Lazárová, J. Václavík, D. Richter ESC 2012, Munich, 27.08.2012 Disclosures MT: honoraria Bayer,
More informationHighlights from EuroEcho 2009 Echo in cardiomyopathies
Highlights from EuroEcho 2009 Echo in cardiomyopathies Bogdan A. Popescu University of Medicine and Pharmacy, Bucharest, Romania ESC Congress 2010 Hypertrophic cardiomyopathy To determine the differences
More informationCentral sleep apneas: Definition, etiology and evidence based management Dr Nandakishore B
Central sleep apneas: Definition, etiology and evidence based management 30-10-2015 Dr Nandakishore B Overview of the seminar Introduction Classification of CSA Pathophysiology Evidence based management
More informationIN-HF on line: patient settings (Enrollement period= )
IN-HF on line: atient settings (Enrollement eriod= 1995-2018) N of centers (total) 187 N of centers (ts. AHF only) 13 N of centers (ts. CHF only) 71 N of centers (both ts. AHF and CHF) 103 N of atients
More information2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure Developed in Collaboration With the American Academy of Family Physicians, American College of Chest
More informationΣύνδρομο σπνικής άπνοιας. Ποιός o ρόλος ηοσ ζηη γένεζη και ανηιμεηώπιζη ηων αρρσθμιών;
Σύνδρομο σπνικής άπνοιας. Ποιός o ρόλος ηοσ ζηη γένεζη και ανηιμεηώπιζη ηων αρρσθμιών; E.N. Σημανηηράκης MD, FESC Επίκ. Καθηγηηής Καρδιολογίας Πανεπιζηημιακό Νοζοκομείο Ηρακλείοσ Epidemiology 4% 2% 24%
More informationHeart.org/HFGuidelinesToolkit
2017 /H/HFS Focused Update of the 2013 F/H 6.3.1 Biomarkers for Prevention: Recommendation OR LOE Recommendation a For patients at risk of developing HF, natriuretic peptide biomarker-based screening followed
More informationRal Antic Director Thoracic Medicine Head of Sleep Service Royal Adelaide Hospital. Visiting Respiratory and Sleep Physician Alice Springs Hospital
Ral Antic Director Thoracic Medicine Head of Sleep Service Royal Adelaide Hospital Visiting Respiratory and Sleep Physician Alice Springs Hospital Conflict of Interest Past member of ResMed Medical Board
More informationPrognosis of Patients With Heart Failure and Obstructive Sleep Apnea Treated With Continuous Positive Airway Pressure*
Original Research SLEEP MEDICINE Prognosis of With Heart Failure and Obstructive Sleep Apnea Treated With Continuous Positive Airway Pressure* Takatoshi Kasai, MD, PhD; Koji Narui, MD; Tomotaka Dohi, MD;
More informationIntroduction. Invasive Hemodynamic Monitoring. Determinants of Cardiovascular Function. Cardiovascular System. Hemodynamic Monitoring
Introduction Invasive Hemodynamic Monitoring Audis Bethea, Pharm.D. Assistant Professor Therapeutics IV January 21, 2004 Hemodynamic monitoring is necessary to assess and manage shock Information obtained
More informationHEART FAILURE IN WOMEN. Marian Limacher, MD Division of Cardiovascular Medicine University of Florida
HEART FAILURE IN WOMEN Marian Limacher, MD Division of Cardiovascular Medicine University of Florida Outline Epidemiology Clinical Overview Why HF is such a challenge State of the Field Heart Failure Adjudication
More informationOPTIMIZING ECHO ACQUISTION FOR STRAIN AND DIASTOLOGY
OPTIMIZING ECHO ACQUISTION FOR STRAIN AND DIASTOLOGY October 8, 2017 Deborah Agler, ACS, RDCS, FASE Coordinator of Education and Training Cleveland Clinic General Principles Diastology Clinical Data Heart
More informationMihai Gheorghiade MD
Mihai Gheorghiade MD Center for Cardiovascular Innovation, Northwestern University Feinberg School of Medicine, Chicago, Illinois On behalf of: Stephen J Greene MD; Javed Butler MD MPH MBA; Gerasimos Filippatos
More informationSleep Apnea Syndrome in Patients with Atrial Fibrillation 2 Cases Whose Atrial Fibrillation Was Controlled by Treatment for Sleep Apnea Syndrome
Case Report Sleep Apnea Syndrome in Patients with Atrial Fibrillation 2 Cases Whose Atrial Fibrillation Was Controlled by Treatment for Sleep Apnea Syndrome Manabu Fujimoto MD, Yamamoto Masakazu MD Kouseiren
More informationFundamentals of Central Sleep Apnea. Emerson Kerr RRT, RPSGT Sr. Field Marketing Manager, North America
Fundamentals of Central Sleep Apnea Emerson Kerr RRT, RPSGT Sr. Field Marketing Manager, North America Sleep Disordered Breathing Prevalence Estimate prevalence : 100 million world wide 1 of every 5 adults
More informationIn-Patient Sleep Testing/Management Boaz Markewitz, MD
In-Patient Sleep Testing/Management Boaz Markewitz, MD Objectives: Discuss inpatient sleep programs and if they provide a benefit to patients and sleep centers Identify things needed to be considered when
More informationSUPPLEMENTAL MATERIAL
SUPPLEMENTAL MATERIAL Table S1: Number and percentage of patients by age category Distribution of age Age
More informationShahrokh Javaheri, MD
Central Sleep Apnea Shahrokh Javaheri, MD Sleep Physician Bethesda North Hospital Professor Emeritus of Medici University of Cincinnati, Cincinnati, Ohio Adjunct Professor of Medicine, Division of Cardiology,
More informationBeyond ACE-inhibitors for Heart Failure. Jacob Townsend, MD NCVH Birmingham 2015
Beyond ACE-inhibitors for Heart Failure Jacob Townsend, MD NCVH Birmingham 2015 % Decrease in Mortality Current Therapy HFrEF 0% Angiotensin receptor blocker ACE inhibitor Beta blocker Mineralocorticoid
More informationOnline Appendix (JACC )
Beta blockers in Heart Failure Collaborative Group Online Appendix (JACC013117-0413) Heart rate, heart rhythm and prognostic effect of beta-blockers in heart failure: individual-patient data meta-analysis
More informationReasons Providers Use Bilevel
Reasons Providers Use Bilevel More comfort, improve therapy compliance Noncompliant OSA (NCOSA) 1 Scripts from lab referrals Central/Complex Sleep Apnea 2 For ventilations needs Restrictive Thoracic Disorders/Neuromuscular
More informationCopeptin in heart failure: Associations with clinical characteristics and prognosis
Copeptin in heart failure: Associations with clinical characteristics and prognosis D. Berliner, N. Deubner, W. Fenske, S. Brenner, G. Güder, B. Allolio, R. Jahns, G. Ertl, CE. Angermann, S. Störk for
More informationCircadian Variations Influential in Circulatory & Vascular Phenomena
SLEEP & STROKE 1 Circadian Variations Influential in Circulatory & Vascular Phenomena Endocrine secretions Thermo regulations Renal Functions Respiratory control Heart Rhythm Hematologic parameters Immune
More informationJust When You Think You Have Heard Everything About Sleep Disordered Breathing
Just When You Think You Have Heard Everything About Sleep Disordered Breathing David F Wolfe Crouse Hospital SUNY Upstate Medical University September 13, 2012 Outline Sleep-Disordered Breathing Case Studies
More informationDialysis-Dependent Cardiomyopathy Patients Demonstrate Poor Survival Despite Reverse Remodeling With Cardiac Resynchronization Therapy
Dialysis-Dependent Cardiomyopathy Patients Demonstrate Poor Survival Despite Reverse Remodeling With Cardiac Resynchronization Therapy Evan Adelstein, MD, FHRS John Gorcsan III, MD Samir Saba, MD, FHRS
More informationResScan Report Interpretation Guide. FOR CLINICAL USE ONLY V1.0 June, 2011
ResScan Report Interpretation Guide FOR CLINICAL USE ONLY V1.0 June, 2011 ResMed Software Support Hours 5:30 AM to 5:30 PM (Pacific Time) Monday Friday Phone +1 (800) 424-0737, Option 6 Email TechSupportUSA@resmed.com
More informationMario Kinsella MD FAASM 10/5/2016
Mario Kinsella MD FAASM 10/5/2016 Repetitive episodes of apnea or reduced airflow Due to upper airway obstruction during sleep Patients often obese Often have hypertension or DM 1 Obstructive apneas, hypopneas,
More informationIntraaortic Balloon Counterpulsation- Supportive Data for a Role in Cardiogenic Shock ( Be Still My Friend )
Intraaortic Balloon Counterpulsation- Supportive Data for a Role in Cardiogenic Shock ( Be Still My Friend ) Stephen G. Ellis, MD Section Head, Interventional Cardiology Professor of Medicine Cleveland
More informationAtrial dysfunction and chronotropic incompetence
Pathophysiology of heart failure with preserved ejection fraction Atrial dysfunction and chronotropic incompetence Vojtech Melenovsky IKEM, Prague, Czech Republic DECLARATION OF CONFLICT OF INTEREST :
More information