Servo-Ventilação Auto-Adaptativa e o Estudo Serve-Hf: Implicações na Insuficiência Cardíaca com Fração de Ejeção Reduzida
DOI:
https://doi.org/10.24950/rspmi/Revisao/101/18/2/2019Palavras-chave:
Apneia do Sono Central, Função Ventricular Esquerda, Insuficiência Cardíaca Sistólica, Respiração com Pressão Positiva, Respiração com Pressão Positiva IntermitenteResumo
O servo-ventilador auto-adaptativo (ASV) é um dispositivo
de ventilação não invasiva, que usa pressão positiva oscilatória, para tratar fenómenos de apneia do sono central. A apneia do sono central é uma entidade frequente em doentes
com insuficiência cardíaca. O SERVE-HF foi um estudo internacional, randomizado e controlado, que demonstrou os
riscos deste tipo de tratamento, em doentes com insuficiência cardíaca e fração de ejeção reduzida. Algumas questões metodológicas foram levantadas acerca da consistência deste estudo. Vários ensaios clínicos encontram-se no
momento em curso, e poderão ajudar, no futuro, a definir os
riscos e benefícios reais do uso da servo-ventilação.
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