Levosimendan treatment of severe acute congestive heart failure refractory to dobutamine/milrinone in children
Author(s) -
Sergej Prijić,
Sanja Rakić,
Ljubica Nikolic,
Bosiljka Jovicic,
Mila Stajević,
Vladislav Vukomanović,
Jovan Košutić
Publication year - 2011
Publication title -
vojnosanitetski pregled
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.123
H-Index - 19
eISSN - 2406-0720
pISSN - 0042-8450
DOI - 10.2298/vsp1111979p
Subject(s) - levosimendan , medicine , dobutamine , cardiology , heart failure , inotrope , preload , milrinone , ejection fraction , afterload , cardiac index , anesthesia , cardiac output , hemodynamics
Levosimendan is a novel positive inotropic agent which, improves myocardial contractility through its calcium-sensitizing action, without causing an increase in myocardial oxygen demand. Also, by opening ATP-sensitive potassium channels, it causes vasodilatation with the reduction in both afterload and preload. Because of the long half-life, its effects last for up 7 to 9 days after 24-hour infusion.
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