Noninvasive Positive Pressure Ventilation in Chronic Heart Failure
Joint Authors
Jiang, Hao
Han, Yi
Xu, Chenqi
Pu, Jun
He, Ben
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-06
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Instruction and Objectives.
Noninvasive positive pressure ventilation (NPPV) alleviates sleep-disordered breathing (SDB) and it may improve cardiac function in SDB patients.
Because large randomized controlled trials directly evaluating the impact of NPPV on cardiac function are lacking, we conducted a meta-analysis of published data on effectiveness of NPPV in improving cardiac function in patients with chronic heart failure regardless of SDB presence.
Methods.
Controlled trials were identified in PubMed, OVID, and EMBASE databases.
Both fixed and randomized models were used in meta-analysis with primary outcomes of left ventricular ejection fraction (LVEF).
Results.
Nineteen studies were included with a total of 843 patients.
Compared to standard medical treatment (SMT) plus sham-NPPV or SMT only, NPPV plus SMT was associated with improvement in LVEF (weighted mean difference 5.34, 95% CI, [3.85,6.82]; P<0.00001) and plasma brain natriuretic peptide (BNP) level (weighted mean difference −117.37, 95% CI, [-227.22,-7.52]; P=0.04) and no influence on overall mortality (RR 1.00, 95% CI, [0.96,1.04]; P=0.95).
Conclusions.
In the present meta-analysis, use of NPPV plus SMT improved LVEF and reduced plasma BNP level but did not improve overall mortality in patients with chronic heart failure.
American Psychological Association (APA)
Jiang, Hao& Han, Yi& Xu, Chenqi& Pu, Jun& He, Ben. 2016. Noninvasive Positive Pressure Ventilation in Chronic Heart Failure. Canadian Respiratory Journal،Vol. 2016, no. 2016, pp.1-13.
https://search.emarefa.net/detail/BIM-1103190
Modern Language Association (MLA)
Jiang, Hao…[et al.]. Noninvasive Positive Pressure Ventilation in Chronic Heart Failure. Canadian Respiratory Journal No. 2016 (2016), pp.1-13.
https://search.emarefa.net/detail/BIM-1103190
American Medical Association (AMA)
Jiang, Hao& Han, Yi& Xu, Chenqi& Pu, Jun& He, Ben. Noninvasive Positive Pressure Ventilation in Chronic Heart Failure. Canadian Respiratory Journal. 2016. Vol. 2016, no. 2016, pp.1-13.
https://search.emarefa.net/detail/BIM-1103190
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1103190