PT  - JOURNAL ARTICLE
AU  - Andrea da Nóbrega Cirino Nogueira
AU  - Francisco Delano Campos Macedo
AU  - Vasco Pinheiro Diógenes Bastos
AU  - Liégina Silveira Marinho
AU  - Nathalia Parente de Sousa
AU  - Soraya Maria do Nascimento Rebouças Viana
AU  - Luiz Henrique de Paula Melo
AU  - Raimunda Hermelinda Maia Macena
AU  - Maria do Socorro Quintino Farias
AU  - Jeruza Mara de Oliveira Lima
AU  - Roberto Martins Rodrigues Sobrinho
AU  - Marcelo Alcantara Holanda
TI  - Acute repercussions of noninvasive ventilation in patient with severe heart failure
DP  - 2012 Sep 01
TA  - European Respiratory Journal
PG  - P2048
VI  - 40
IP  - Suppl 56
4099  - http://erj.ersjournals.com/content/40/Suppl_56/P2048.short
4100  - http://erj.ersjournals.com/content/40/Suppl_56/P2048.full
SO  - Eur Respir J2012 Sep 01; 40
AB  - Objective: To analyze the acute effects of noninvasive ventilation (NIV) on cardiac function in patients with severe heart failure (HF). Method: The study intervention in 10 patients with HF functional class III and IV (NYHA), ejection fraction (EF) ≤ 40%. Shan CPAP was used and CPAP 10 cm H2O for 60 minutes with an interval of 20 minutes. We analyzed Simpson ejection fraction (EF SIMP), cardiac output (CO), pulmonary artery pressure (PAP), heart rate (HR) and mean arterial pressure (MAP) by echocardiography and oxygen saturation (SaO2) monitored every 30 minutes. Results:We observed a significant decrease in HR after CPAP 60' (71,13,17±13,17) compared to the initial rest (79,50±8,61, p=0,04) after using the PAM CPAP 30' (92,10±17,85) compared to the initial rest (97,50±18,04, p=0,01) and a significant increase in SaO2 after use CPAP 60' (97,70±0,67) compared to the initial rest (96,50±1,72, p= 0,04). And the variables FE SIMP, DC and PAP were not significantly different after administration of CPAP. Conclusion: CPAP significantly alter HR, MAP and SaO2. The NIV were no significant changes on the FE SIMP, DC and PAP.