重症心不全患者における酸素療法とAdaptive-servo ventilator の効果の検討 （肺動脈性肺高血圧に伴う右心不全に対してのAdaptive-servo ventilator の効果）

Pulmonary arterial hypertension（PAH）, including idiopathic or connective tissue diseaserelated PAH is very poor prognosis. Recently it has been reported that Adaptive-servo ventilator（ASV）is useful device for improving congestive heart failure compared with oxygen therapy however, it has not been clear whether ASV is useful not only in congestive heart failure but also in PAH patients. We experienced a drug therapy-resistant PAH patient, whose subjective symptom and pulmonary arterial pressure were ameliorated by ASV. We also found that ASV was also effective on improving subjective symptoms and on decreasing pulmonary arterial pressure in ６patients with PAH. These findings suggest that ASV is a useful and new device in patients with drug therapy-resistant PAH.