Servo-Ventilação Auto-Adaptativa e o Estudo Serve-Hf: Implicações na Insuficiência Cardíaca com Fração de Ejeção Reduzida

Autores

  • Ana Pais Serviço de Pneumologia; Centro Hospitalar Universitário de Lisboa Norte; Hospital de Santa Maria; Lisboa; Portugal https://orcid.org/0000-0002-0530-0358
  • Luiz Menezes Falcão Serviço de Medicina I; Centro Hospitalar Universitário de Lisboa Norte; Hospital de Santa Maria; Lisboa; Portugal/Centro Cardiovascular da Universidade de Lisboa (CCUL); Faculdade de Medicina; Lisboa; Portugal https://orcid.org/0000-0003-3574-9807

DOI:

https://doi.org/10.24950/rspmi/Revisao/101/18/2/2019

Palavras-chave:

Apneia do Sono Central, Função Ventricular Esquerda, Insuficiência Cardíaca Sistólica, Respiração com Pressão Positiva, Respiração com Pressão Positiva Intermitente

Resumo

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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Publicado

18-06-2019

Como Citar

1.
Pais A, Menezes Falcão L. Servo-Ventilação Auto-Adaptativa e o Estudo Serve-Hf: Implicações na Insuficiência Cardíaca com Fração de Ejeção Reduzida. RPMI [Internet]. 18 de Junho de 2019 [citado 28 de Março de 2024];26(2):135-40. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/386

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