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Outcome of patients with acute heart failure secondary to acute myocardial infarction treated with noninvasive mechanical ventilation

Authors :
Domingo A. Pascual-Figal
Andrés Carrillo-Alcaraz
Antonia López-Martínez
Víctor Martínez-Pérez
Luna Carrillo-Alemán
Juan Miguel Sánchez-Nieto
Antonio Esquinas-Rodríguez
Nuria Alonso-Fernández
Ana Renedo-Villarroya
Miguel Guia
Source :
Revista Española de Cardiología (English Edition). 75:50-59
Publication Year :
2022
Publisher :
Elsevier BV, 2022.

Abstract

Introduction and objectives Noninvasive ventilation (NIV) has been shown to reduce the rate of endotracheal intubation and mortality in patients with acute heart failure (AHF). However, patients with AHF secondary to acute coronary syndrome/acute myocardial infarction (ACS-AMI) have been excluded from many clinical trials. The purpose of this study was to compare the effectiveness of NIV between patients with AHF triggered by ACS-AMI and by other etiologies. Methods Prospective cohort study of all patients with AHF treated with NIV admitted to the intensive care unit for a period of 20 years. Patients were divided according to whether they had ACS-AMI as the cause of the AHF episode. NIV failure was defined as the need for endotracheal intubation or death. Results A total of 1009 patients were analyzed, 403 (40%) showed ACS-AMI and 606 (60%) other etiologies. NIV failure occurred in 61 (15.1%) in the ACS-AMI group and in 64 (10.6%) in the other group (P = .031), without differences in in-hospital mortality (16.6% and 14.9%, respectively; P = .478). Conclusions The presence of ACS-AMI as the triggering cause of AHF did not influence patients with acute respiratory failure requiring noninvasive respiratory support .

Details

ISSN :
18855857
Volume :
75
Database :
OpenAIRE
Journal :
Revista Española de Cardiología (English Edition)
Accession number :
edsair.doi.dedup.....2ad9a6cd73e2c7d446ee06aa1828325a
Full Text :
https://doi.org/10.1016/j.rec.2020.10.003