Exercise Oscillatory Ventilation in Heart Failure

被引:34
作者
Dhakal, Bishnu P.
Murphy, Ryan M.
Lewis, Gregory D. [1 ,2 ]
机构
[1] Harvard Univ, Massachusetts Gen Hosp, Sch Med,Cardiol Div,Dept Med, Heart Failure & Cardiac Transplantat Unit, Boston, MA 02114 USA
[2] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Pulm & Crit Care Unit,Dept Med, Boston, MA 02114 USA
关键词
CHEYNE-STOKES RESPIRATION; IDIOPATHIC DILATED CARDIOMYOPATHY; PRESERVED EJECTION FRACTION; OBSTRUCTIVE SLEEP-APNEA; CARDIAC TRANSPLANTATION; WEDGE PRESSURE; SECONDARY; LUNG; HYPERVENTILATION; PATHOGENESIS;
D O I
10.1016/j.tcm.2012.07.018
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Irregular breathing characterized by cyclic variation of ventilation with a period of approximately 1 min has been recognized in patients with heart failure for almost two centuries. Periodic breathing during exercise is a noninvasive parameter that is easily recognizable during submaximal cardiopulmonary exercise testing. Recent studies have established that periodic breathing during exercise not only signals significant impairment in resting and exercise hemodynamic parameters but also potently predicts adverse events in heart failure patients. This article reviews the mechanistic basis of periodic breathing and the clinical utility of discerning patterns of irregular breathing in patients with heart failure. (Trends Cardiovasc Med 2012;22:185-191) (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:185 / 191
页数:7
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