Walterspacher S, Woehrle H, Dreher M
Klinik für Pneumologie, Department Innere Medizin, Universitätsklinikum Freiburg, Freiburg, Deutschland.
Herz. 2014 Feb;39(1):25-31. doi: 10.1007/s00059-014-4060-y.
Noninvasive ventilation is becoming increasingly important in the treatment of acute and chronic respiratory failure. However, noninvasive ventilation not only influences respiratory failure but also cardiac (dys-)function. Furthermore, cardiac comorbidities are often present in systemic diseases with respiratory failure such as COPD or obesity hypoventilation syndrome. This review covers the (patho-)physiological causes of hypoxic and hypercapnic respiratory insufficiency and its treatment with noninvasive ventilation. A special focus on acute and chronic effects on cardiac function will be addressed.