Effective Treatment of Congestive Heart Failure Using Adaptive Servo-ventilation in an End-stage Renal Disease Patient on Hemodialysis

Naoki Aizawa; Kazufumi Nagahama; Kaoru Goya; Shoichiro Yamazato; Hidekazu Ikemiyagi; Katsuhiko Ohshiro; Tomoko Shinzato; Yasushi Higashiuesato; Tetsuya Ishiki; Takanori Yasu; Kunitoshi Iseki; Yusuke Ohya

doi:10.2169/internalmedicine.53.2079

CASE REPORTS

Effective Treatment of Congestive Heart Failure Using Adaptive Servo-ventilation in an End-stage Renal Disease Patient on Hemodialysis

Naoki Aizawa, Kazufumi Nagahama, Kaoru Goya, Shoichiro Yamazato, Hidekazu Ikemiyagi, Katsuhiko Ohshiro, Tomoko Shinzato, Yasushi Higashiuesato, Tetsuya Ishiki, Takanori Yasu, Kunitoshi Iseki, Yusuke Ohya

Author information

Naoki Aizawa
Department of Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus Graduate School of Medicine, Japan
Kazufumi Nagahama
Department of Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus Graduate School of Medicine, Japan
Kaoru Goya
Department of Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus Graduate School of Medicine, Japan
Shoichiro Yamazato
Department of Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus Graduate School of Medicine, Japan
Hidekazu Ikemiyagi
Department of Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus Graduate School of Medicine, Japan
Katsuhiko Ohshiro
Department of Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus Graduate School of Medicine, Japan
Tomoko Shinzato
Department of Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus Graduate School of Medicine, Japan
Yasushi Higashiuesato
Department of Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus Graduate School of Medicine, Japan
Tetsuya Ishiki
Department of Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus Graduate School of Medicine, Japan
Takanori Yasu
Department of Cardiovascular Medicine, Dokkyo Medical University Nikko Medical Center, Japan
Kunitoshi Iseki
Dialysis Unit, University Hospital of the Ryukyus, Japan
Yusuke Ohya
Department of Cardiovascular Medicine, Nephrology and Neurology, University of the Ryukyus Graduate School of Medicine, Japan

Keywords: adaptive servo-ventilation, heart failure, hemodialysis, end-stage renal disease (ESRD)

JOURNAL OPEN ACCESS

2014 Volume 53 Issue 18 Pages 2087-2090

DOI https://doi.org/10.2169/internalmedicine.53.2079

Details

Abstract

A 61-year-old man who was being treated with hemodialysis (HD) for end-stage renal disease presented with symptoms of severe congestive heart failure (CHF). Removing excess intravascular fluid during HD was difficult due to the patient's chronic hypotension induced by severe left ventricular (LV) dysfunction. The application of adaptive servo-ventilation (ASV) increased the patient's cardiac output and blood pressure during HD, thus resulting in the effective removal of excess intravascular fluid. Therefore, ASV may be effective for treating CHF in HD patients with LV dysfunction and chronic hypotension.

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