Mechanical pulsus alternans is sometimes seen in patients with severe heart failure.
This case report describes a patient with medically refractory acute heart failure
due to severe left ventricular (LV) systolic dysfunction with pulsus alternans, where
short-term adaptive servo-ventilation (ASV) therapy immediately ameliorated the mechanical
pulsus alternans.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Heart, Lung and CirculationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM).Eur Heart J. 2008; 29: 2388-2442
- Compliance with and effectiveness of adaptive servoventilation versus continuous positive airway pressure in the treatment of Cheyne–Stokes respiration in heart failure over a six month period.Heart. 2006; 92: 337-342
- Comparison of acute and chronic impact of adaptive servo-ventilation on left chamber geometry and function in patients with chronic heart failure.Eur J Heart Fail. 2011; 13: 1140-1146
- Short term effect of adaptive servo-ventilation on muscle sympathetic nerve activity in patients with heart failure.Auton Neurosci. 2011; 161: 95-102
- Alternating contractility in pulsus alternans studied in the isolated canine heart.Circulation. 1985; 71: 357-362
- Changes in intracellular calcium during mechanical alternans in isolated ferret ventricular muscle.Circ Res. 1990; 66: 585-595
- Low-dose beta-blocker in combination with milrinone safely improves cardiac function and eliminates pulsus alternans in patients with acute decompensated heart failure.Circ J. 2012; 76: 1646-1653
Article info
Publication history
Published online: October 12, 2012
Accepted:
August 20,
2012
Received in revised form:
August 16,
2012
Received:
March 18,
2012
Identification
Copyright
© 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.
