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Elevated RVand LV pressures that vary together with respiration (ie, concordance) should be strongly considered as RCM. Elevated RV and LV pressures that are out of synchrony on inspiration (ie, discordant), wherein the RV pressure increases but the LV pressure decreases would support the diagnosis of CPD. Peer review statement
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It is also beneficial for left ventricular dysfunction and has minimal side effects. Despite the potential risk that a patient may pass the SBT but experience cardiac failure on extubation, most clinicians are comfortable using low CPAP levels with other techniques mentioned earlier.
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