Abstract
This paper discusses the respiratory therapy in patients with acute respiratory failure due to acute myocardial infarction (AMI). Several events in the course of AMI may lead to respiratory failure requiring ventilatory support. Since the lungs and the heart form a functional unit, therapy directed at one frequently affects the other. Particularly during the initial hours of AMI, deranged hemodynamics and various therapeutic interventions markedly influence ischemic myocardial segments and final infarct size [13].
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References
Aubier M, Trippenbach T, Roussos C (1981) Respiratory muscle fatigue during cardiogenic shock. J Appl Physiol 51: 499–508
Barach AL, Martin J, Eckman M (1938) Positive pressure respiration and its application to the treatment of acute pulmonary edema Ann Intern Med 12: 754–795
Breivik H, Grenvik A, Millen E, Safar P (1973) Normalizing low arterial CO2 tension during mechanical ventilation Chest 63: 525–531
Downs JB, Douglas ME (1982) Applied physiology and respiratory care. In: Shoemaker WC, Thompson WL (eds.) Critical care: state of the art, vol 3. Fullerton CA: Society of Critical Care Medicine 1–35
Gherini S, Peters RM, Virgilio RW (1979) Mechanical work on the lungs and work of breathing with positive end-expiratory pressure and continuous positive airway pressure. Chest 76: 251–256
Laver MB, Strauss WH, Pohost GM (1979) Right and lelft ventricular geometry: adjustments during acute respiratory failure. Crit Care med 7: 509–519
Mason DT, Spann JF Jr, Zells R, Amsterdam EA (1970) Alterations of hemodynamics and myocardial mechanics in patients with congestive heart failure. Prog. Cardiovasc Dis 12: 507–557
Mathru M, Rao TLK, El-Etr AA, Pifarre R (1982) Hemodynamic response to changes in ventilatory patterns in patients with normal and poor left ventricular reserve. Crit Care Med 10: 423–426
Nikki P, Räsänen J, Tahvanainen J, Mäkeläinen A (1982) Ventilatory pattern in respiratory failure arising from acute myocardial infarction: I Respiratory and hemodynamic effects of IMV 4 vs IPPV 12 and PEEP 0 vs PEEP 10. Crit Care Med 10: 75–78
Pere] A, Williamson DC, Modell JH (1983) Effectiveness of CPAP by mask for pulmonary edema associated with hypercarbia. Intensive Care Med 9: 17–19
Pinsky MR, Summer WR (1983) Cardiac augmentation by phasic high intrathoracic pressure support in man. Chest 84: 370–375
Robotham JL, Bell RC, Badke FR, Kindred MK (1985) Left ventricular geometry during positive end-expiratory pressure in dogs. Crit Care Med 13: 617–624
Rude RE, Muller JE, Braunwald E (1981) Efforts to limit the size of myocardial infarcts. Ann Intern Med 95: 736–761
Räsänen J (1985) Conventional and high frequency controlled mechanical ventilatory support in patients with left ventricular dysfunction and pulmonary edema. Submitted for publication
Räsänen J, Heikkilä J, Downs J, Nikki P, Väisänen I, Viitanen A (1985) Continuous positive airiway pressure by face mask in acute cardiogenic pulmonary edema. Am J Cardiol 55: 296–300
Räsänen J, Nikki P, Heikkilä J (1984) Acute myocardial infarction complicated by respiratory failure. The effects of mechanical ventilation. Chest 85: 21–28
Räsänen J, Väisänen I, Heikkilä J, Nikki P (1985) Acute myocardial infarction complicated by left ventricular dysfunction and respiratory failure. The effects of continuous positive airway pressure. Chest 87: 158–162
Sturgeon CL Jr, Douglas ME, Downs JB, Dannemiller FJ (1977) PEEP and CPAP: cardiopulmonary effects during spontaneous ventilation Anesth Analg 56: 633–641
Valencia A, Burgess JH (1969) Arterial hypoxemia following acute myocardial infarction, Circulation 40: 641–656
Weisman IM, Rinaldo JE, Rogers RM (1982) Positive end-expiratory pressure in adult respiratory failure. N Engl J Med 307: 1381–1384
West JB (1975) New advances in pulmonary gas exchange. Anesth Analg 54: 409–418
Vuori A (1981) Central hemodynamics, oxygen transport and oxygen consumption during three methods for CPAP. Acta Anaesth Scand 25: 376–380.
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© 1986 Springer-Verlag Berlin Heidelberg
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Nikki, P., Räsänen, J., Väisänen, I. (1986). Respiratory Therapy in Patients with Heart Failure. In: Vincent, J.L. (eds) 6th International Symposium on Intensive Care and Emergency Medicine. Update in Intensive Care and Emergency Medicine, vol 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-82801-0_16
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DOI: https://doi.org/10.1007/978-3-642-82801-0_16
Publisher Name: Springer, Berlin, Heidelberg
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