Adaptive Servo-Ventilation and the Serve-Hf Trial: Implications in Heart Failure with Reduced Ejection Fraction
DOI:
https://doi.org/10.24950/rspmi/Revisao/101/18/2/2019Keywords:
Heart Failure, Systolic, Intermittent Positive-Pressure Breathing, Positive-Pressure Respiration, Sleep Apnea, Central, Ventricular Function, LeftAbstract
Adaptive servo ventilation is a type of non-invasive ventilation device, using oscillatory positive airway pressure to treat
central sleep apnoea. Central sleep apnoea is a common
entity in heart failure patients. The SERVE HF trial was an international controlled and randomized study, which demonstrates the hazard effects of this device therapy in HF patients
with reduced ejection fraction. Some methodological issues
are being raised about the consistency of this study. Ongoing
trials could help us, in the future, to definitely define the risks
and the benefits of adaptive servo ventilation device therapy
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