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A pragmatic approach to the use of inotropes for the management of acute and advanced heart failure: An expert panel consensus
D. Farmakis, P. Agostoni, L. Baholli, A. Bautin, J. Comin-Colet, MG. Crespo-Leiro, F. Fedele, JM. García-Pinilla, G. Giannakoulas, F. Grigioni, M. Gruchała, F. Gustafsson, VP. Harjola, T. Hasin, A. Herpain, EK. Iliodromitis, K. Karason, M....
Jazyk angličtina Země Nizozemsko
Typ dokumentu časopisecké články
- MeSH
- agonisté adrenergních beta-receptorů terapeutické užití MeSH
- kardiotonika terapeutické užití MeSH
- konsensus MeSH
- lékařská praxe - způsoby provádění MeSH
- lidé MeSH
- srdeční selhání farmakoterapie MeSH
- výběr pacientů MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Inotropes aim at increasing cardiac output by enhancing cardiac contractility. They constitute the third pharmacological pillar in the treatment of patients with decompensated heart failure, the other two being diuretics and vasodilators. Three classes of parenterally administered inotropes are currently indicated for decompensated heart failure, (i) the beta adrenergic agonists, including dopamine and dobutamine and also the catecholamines epinephrine and norepinephrine, (ii) the phosphodiesterase III inhibitor milrinone and (iii) the calcium sensitizer levosimendan. These three families of drugs share some pharmacologic traits, but differ profoundly in many of their pleiotropic effects. Identifying the patients in need of inotropic support and selecting the proper inotrope in each case remain challenging. The present consensus, derived by a panel meeting of experts from 21 countries, aims at addressing this very issue in the setting of both acute and advanced heart failure.
1st Department of Cardiology Medical University of Gdansk Gdansk Poland
Aristotle University of Thessaloniki Thessaloniki Greece
BCRT Berlin Institute of Health for Center for Regenerative Therapies Berlin Germany
Cardiology Department Hospital Sanitas CIMA Barcelona Spain
Cardiology Dept Rigshospitalet University of Copenhagen Copengahen Denmark
Cardiovascular Center Na Homolce Hospital Prague Czech Republic
Centro Cardiologico Monzino IRCCS Milan Italy
Charité University Medicine Berlin Campus Virchow Klinikum Department of Cardiology Germany
Complexo Hospitalario Universitario de A Coruña A Coruña Spain
Critical Care Proprietary Products Orion Pharma Espoo Finland
Department of Anesthesiology Almazov National Medical Research Center Saint Petersburg Russia
Department of Cardiology Dokuz Eylul University Faculty of Medicine Izmir Turkey
Department of Cardiology General Hospital Sismanogleio Amalia Fleming Greece
Department of Cardiology North Estonia Medical Center Tallinn Estonia
Department of Cardiology S7 Jorvi Hospital Espoo Finland
Department of Cardiovascular Sciences Ospedali Riuniti Ancona Italy
Emergency Medicine University of Helsinki Helsinki University Hospital Helsinki Finland
Heart and Vascular Center Semmelweis University Budapest Hungary
Intensive Care Dpt Consorci Sanitari Integral University of Barcelona Barcelona Spain
Jesselson Integrated Heart Center Shaare Zedek Medical Center Jerusalem Israel
Transplant Institute Sahlgrenska University Hospital Gothenburg Sweden
Universitätsklinik für Innere Medizin 3 Medizinsche Universität Innsbruck Austria
Citace poskytuje Crossref.org
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- $a Farmakis, Dimitrios $u University of Cyprus Medical School, Nicosia, Cyprus; Second Department of Cardiology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece. Electronic address: farmakis.dimitrios@ucy.ac.cy. $7 xx0281405
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