Open AccessApplication of Continuous Positive Airway Pressure in Hypoxemic Acute Respiratory Failure Associated With Diastolic Dysfunction in Pregnancy
Author(s) -
Hutter Deborah A.,
Berkowitz Robert,
Davis S. Edward,
Ashtyani Hormoz
Publication year - 2006
Publication title -
congestive heart failure
Language(s) - English
Resource type - Journals
eISSN - 1751-7133
pISSN - 1527-5299
DOI - 10.1111/j.1527-5299.2005.05316.x
Subject(s) - medicine , continuous positive airway pressure , heart failure , afterload , cardiology , hypoxemia , diastole , venous return curve , preload , pulmonary hypertension , oligohydramnios , pregnancy , diastolic heart failure , blood pressure , anesthesia , hemodynamics , fetus , obstructive sleep apnea , biology , genetics
Diastolic heart failure with hypoxemia is a dangerous condition in pregnancy for both the mother and the fetus. Continuous positive airway pressure may help to decrease afterload and reduce venous return and ventricular filling, but its use in diastolic dysfunction has not yet been established. The authors report a case of a patient with pregnancy‐induced hypertension and oligohydramnios who developed acute decompensated diastolic heart failure. The addition of continuous positive airway pressure, diuretics, and neurohormonal‐blocking agents lead to a dramatic clinical and physiologic improvement. The authors recommend consideration of the use of positive pressure ventilation in these patients.