The influence of non-invasive ventilation on clinical outcome in patients with acute chronic heart failure: review study

Authors

DOI:

https://doi.org/10.11606/issn.2317-0190.v32i1a230429

Keywords:

Heart Failure, Noninvasive Ventilation, Respiratory Insufficiency, Exercise

Abstract

Heart failure (HF) is a chronic and progressive syndrome that leads to the inability of the heart to perform its function adequately, causing changes in the blood supply to the body's tissues or high blood pressure. Acute chronic heart failure (ACHF) is established as the appearance or worsening of signs and symptoms, the most common symptom being respiratory failure, which has commonly been treated with noninvasive mechanical ventilation (NIMV). Objective: To elucidate, through a literature review, the impact of noninvasive ventilation on the clinical outcome of patients with ACHF in a hospital environment, whether there was a significant improvement in the condition and/or adherence to treatment. Method: Literature review through research in the Pubmed database, with the descriptors “(noninvasive ventilation)" (NIV), "(heart failure)", with the Boolean operators AND and OR. Results: 1,319 articles were found based on the established descriptors. After applying the filters, 3 articles remained for the review. The results found were organized in a table with information about the 3 articles selected for the review. Conclusion: NIMV was shown to be effective in the treatment of CHF, but further research is needed focusing not only on the efficacy of NIMV in terms of clinical outcomes, but also on patients' quality of life, long-term functionality and cost-effectiveness analyses.

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References

Mustard A, Hoes AW. Clinical epidemiology of heart failure. Heart. 2007;93(9):1137-46. Doi: https://doi.org/10.1136/hrt.2003.025270

Carrillo-Alemán L, López-Martínez A, Carrillo-Alcaraz A, Guia M, Renedo-Villarroya A, Alonso-Fernández N, et al. Outcome of patients with acute heart failure secondary to acute myocardial infarction treated with noninvasive mechanical ventilation. Rev Esp Cardiol (Engl Ed). 2022;75(1):50-59. Doi: https://doi.org/10.1016/j.rec.2020.10.003

Masip J, Peacock WF, Price S, Cullen L, Martin-Sanchez FJ, Seferovic P, et al. Indications and practical approach to non-invasive ventilation in acute heart failure. Eur Heart J. 2018;39(1):17-25. Doi: https://doi.org/10.1093/eurheartj/ehx580

Miró Ò, Martínez G, Masip J, Gil V, Martín-Sánchez FJ, Llorens P, et al. Effects on short term outcome of non-invasive ventilation use in the emergency department to treat patients with acute heart failure: A propensity score-based analysis of the EAHFE Registry. Eur J Intern Med. 2018;53:45-51. Doi: https://doi.org/10.1016/j.ejim.2018.03.008

Quintão MMP, Bastos AF, Silva LM, Bernardez S, Martins W de A, Mesquita ET, et al. Ventilação não invasiva na insuficiência cardíaca. Rev SOCERJ. 2009;22(6):387-97.

Haywood ST, Whittle JS, Volakis LI, Dungan G, Bublewicz M, Kearney J, et al. HVNI vs NIPPV in the treatment of acute decompensated heart failure: Subgroup analysis of a multi-center trial in the ED. Am J Emerg Med. 2019;37(11):2084-90. Doi: https://doi.org/10.1016/j.ajem.2019.03.002

Oliveira MF, Santos RC, Artz SA, Mendez VM, Lobo DM, Correia EB, et al. Safety and efficacy of aerobic exercise training associated to non-invasive ventilation in patients with acute heart failure. Arq Bras Cardiol. 2018;110(5):467-475. Doi: https://doi.org/10.5935/abc.20180039

Moraes IG, Kimoto KM, Fernandes MB, Grams ST, Yamaguti WP. Adjunctive use of noninvasive ventilation during exercise in patients with decompensated heart failure. Am J Cardiol. 2017;119(3):423-7. Doi: https://doi.org/10.1016/j.amjcard.2016.10.025

Arrigo M, Jessup M, Mullens W, Reza N, Shah AM, Sliwa K, Mebazaa A. Acute heart failure. Nat Rev Dis Primers. 2020;6(1):16. Doi: https://doi.org/10.1038/s41572-020-0151-7

Lee CC, Mankodi D, Shaharyar S, Ravindranathan S, Danckers M, Herscovici P, Moor M, Ferrer G. High flow nasal cannula versus conventional oxygen therapy and non-invasive ventilation in adults with acute hypoxemic respiratory failure: A systematic review. Respir Med. 2016;121:100-108. Doi: https://doi.org/10.1016/j.rmed.2016.11.004

Yan L, Lu Y, Deng M, Zhang Q, Bian Y, Zhou X, et al. Efficacy of high-flow nasal cannula in patients with acute heart failure: a systematic review and meta-analysis. BMC Pulm Med. 2023;23(1):476. Doi: https://doi.org/10.1186/s12890-023-02782-0

Goulart C, Caruso FR, Araújo ASG, Arêas GPT, Moura SCG, Catai AM, et al. Non-invasive ventilation improves exercise tolerance and peripheral vascular function after high-intensity exercise in COPD-HF patients. Respir Med. 2020;173:106173. Doi: https://doi.org/10.1016/j.rmed.2020.106173

Papachatzakis Y, Nikolaidis PT, Kontogiannis S, Trakada G. High-Flow oxygen through nasal cannula vs. non-invasive ventilation in hypercapnic respiratory failure: a randomized clinical trial. Int J Environ Res Public Health. 2020;17(16):5994. Doi: https://doi.org/10.3390/ijerph17165994

Reis HV, Borghi-Silva A, Catai AM, Reis MS. Impact of CPAP on physical exercise tolerance and sympathetic-vagal balance in patients with chronic heart failure. Braz J Phys Ther. 2014;18(3):218-27. Doi: https://doi.org/10.1590/bjpt-rbf.2014.0037

Published

2025-03-20

Issue

Section

Review Article

How to Cite

1.
Silva SJF, Franco VCS, Palamim CVC, Sardim AC. The influence of non-invasive ventilation on clinical outcome in patients with acute chronic heart failure: review study. Acta Fisiátr. [Internet]. 2025 Mar. 20 [cited 2026 Feb. 7];32(1):53-8. Available from: https://revistas.usp.br/actafisiatrica/article/view/230429