Abstract:
:The awareness of Cheyne-Stokes respiration (CSR) and of the co-existence of the obstructive sleep apnoea syndrome and central breathing disturbances has rapidly grown in recent years. CSR is defined by a waxing and waning pattern of the breathing amplitude. Sleep related breathing disorders in patients with heart failure are associated with impaired clinical outcome and survival. While continuous positive airway pressure treatment (CPAP) is widely used to treat CSR, it has failed to improve overall survival of heart failure patients. Nevertheless, it has been shown that CPAP reduces mortality if breathing disturbances were sufficiently eliminated. Therefore, optimal suppression of CSR is critical. While CPAP reduces CSR by 50% on average, adaptive servoventilation (ASV) normalises CSR in most patients. ASV devices apply different levels of pressure support: during periods of hypoventilation the inspiratory pressure is increased while it is reduced to the lowest possible level during hyperventilation. The devices deliver an expiratory pressure to overcome upper airways obstruction. Pressure support is defined by the difference between expiratory and inspiratory pressure. Thus, while pressure support is fixed in bilevel devices, it varies under ASV. However, the hypothesis that ASV might improve survival in CSR patients has to be proved in prospective studies in CPAP nonresponders. There is a lack of evidence on the use of bilevel devices in CSR. However, ASV has proven both to effectively treat CSR and to be superior to CPAP in respiratory and sleep parameters in short term and medium term studies. Nevertheless, data on the long term use and the influence on cardiac parameters are necessary.
journal_name
Swiss Med Wklyjournal_title
Swiss medical weeklyauthors
Randerath WJdoi
smw-12425subject
Has Abstractpub_date
2009-03-07 00:00:00pages
135-9issue
9-10eissn
1424-7860issn
1424-3997pii
smw-12425journal_volume
139pub_type
杂志文章,评审abstract::Malnutrition has been defined as a “state resulting from lack of uptake or intake of nutrition, leading to altered body composition and body cell mass, as well as to diminished physical and mental function and impaired clinical outcome from disease.” Particularly for the multimorbid medical inpatient, ther...
journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:10.4414/smw.2020.20204
更新日期:2020-04-15 00:00:00
abstract:OBJECTIVES:To investigate the subjective treatment goals of insulin-treated diabetic patients. METHODS:297 type 1 and 205 type 2 diabetic patients, representative of the North-western Swiss population, filled out a self report questionnaire focusing on their own treatment goals using standardized measures wherever ava...
journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:2006/35/smw-11502
更新日期:2006-09-02 00:00:00
abstract:PRINCIPALS:Accidents in agriculture are a problem of global importance. The hazards of working in agriculture are manifold (machines, animals, heights). We therefore assessed injury severity and mortality from accidents in farming. METHODS:We retrospectively analysed all farming accidents treated over a 12-year period...
journal_title:Swiss medical weekly
pub_type: 杂志文章
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:10.4414/smw.2013.13728
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abstract:PRINCIPLES:Current evidence indicates that chronic kidney disease (CKD) can be detected by simple laboratory tests. This study aimed to evaluate the cost-effectiveness of microalbuminuria screening and subsequent treatment in different populations. METHODS:Cost-effectiveness of microalbuminuria screening in a cohort o...
journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:10.4414/smw.2012.13508
更新日期:2012-02-03 00:00:00
abstract::Minimal residual disease (MRD) refers to the small number of malignant cells that remain after therapy when the patient is in remission and shows no symptoms or overt signs of disease. Current treatment protocols for haematological malignancies allow most patients to obtain some form of MRD state, but cure seldom foll...
journal_title:Swiss medical weekly
pub_type: 杂志文章,评审
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:10.4414/smw.2011.13298
更新日期:2011-11-09 00:00:00
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journal_title:Swiss medical weekly
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journal_title:Swiss medical weekly
pub_type: 杂志文章,随机对照试验
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journal_title:Swiss medical weekly
pub_type: 杂志文章
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journal_title:Swiss medical weekly
pub_type: 杂志文章,评审
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更新日期:2013-11-13 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:10.4414/smw.2018.14597
更新日期:2018-03-14 00:00:00
abstract::No abstract available (Letter to the editor). ...
journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:10.4414/smw.2012.13639
更新日期:2012-07-17 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:10.4414/smw.2014.13972
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journal_title:Swiss medical weekly
pub_type: 杂志文章,多中心研究
doi:2008/25/smw-11915
更新日期:2008-06-28 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:10.4414/smw.2016.14326
更新日期:2016-08-06 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:2004/33/smw-10599
更新日期:2004-08-21 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:2001/13/smw-09680
更新日期:2001-04-07 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章
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更新日期:2011-01-06 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:10.4414/smw.2016.14305
更新日期:2016-05-31 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章,评审
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:2007/25/smw-11702
更新日期:2007-06-30 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章,评审
doi:2002/23/smw-09729
更新日期:2002-06-15 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章,评审
doi:10.4414/smw.2013.13766
更新日期:2013-03-14 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:10.4414/smw.2017.14474
更新日期:2017-07-10 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:2008/23/smw-12102
更新日期:2008-06-14 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:2004/39/smw-10738
更新日期:2004-10-02 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:2001/05/smw-09667
更新日期:2001-02-10 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章,多中心研究
doi:2006/13/smw-11180
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