Abstract

PAIS, Ana  and  FALCAO, Luiz Menezes. Adaptive Servo-Ventilation and the Serve-Hf Trial: Implications in Heart Failure with Reduced Ejection Fraction. Medicina Interna [online]. 2019, vol.26, n.2, pp.135-140. ISSN 0872-671X.  https://doi.org/10.24950/rspmi/Revisao/101/18/2/2019.

Adaptive servo ventilation is a type of non-invasive ventila-tion 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 in-ternational controlled and randomized study, which demons-trates 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.

Keywords : Heart Failure; Systolic; Intermittent Positive-Pressure Breathing; Positive-Pressure Respiration; Sleep Apnea, Central; Ventricular Function, Left.

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