Document Detail


Effects of levosimendan on markers of left ventricular diastolic function and neurohormonal activation in patients with advanced heart failure.
MedLine Citation:
PMID:  16054474     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this randomized, placebo-controlled study, it was found that a 24-hour levosimendan infusion improves echocardiographic markers of abnormal left ventricular diastolic function (transmitral flow patterns and mitral annulus velocities, as assessed by transthoracic pulse-wave Doppler and tissue Doppler imaging, respectively) and reduces substances of excessive neurohormonal activation (plasma B-type natriuretic peptide and interleukin-6) in patients with advanced heart failure. Moreover, levosimendan-treated patients had fewer events and longer progression-free survival during a 5-month follow-up compared with those who received placebo. Thus, levosimendan seems to be effective in improving left ventricular diastolic function and reducing neurohormonal activation in patients with severe heart failure.
Authors:
John T Parissis; Fotios Panou; Dimitrios Farmakis; Stamatis Adamopoulos; Gerasimos Filippatos; Ioannis Paraskevaidis; Koula Venetsanou; John Lekakis; Dimitrios Th Kremastinos
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The American journal of cardiology     Volume:  96     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-01     Completed Date:  2005-09-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  423-6     Citation Subset:  AIM; IM    
Affiliation:
Second Department of Cardiology and Heart Failure Clinic, Attikon University Hospital, Athens, Greece. jparissis@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiotonic Agents / administration & dosage,  therapeutic use*
Chi-Square Distribution
Echocardiography, Doppler
Female
Heart Failure / blood*,  drug therapy*,  ultrasonography
Humans
Hydrazones / administration & dosage,  therapeutic use*
Infusions, Intravenous
Interleukin-6 / blood
Male
Middle Aged
Natriuretic Peptide, Brain / blood
Pyridazines / administration & dosage,  therapeutic use*
Statistics, Nonparametric
Treatment Outcome
Ventricular Dysfunction, Left / blood*,  drug therapy*,  ultrasonography
Chemical
Reg. No./Substance:
0/Cardiotonic Agents; 0/Hydrazones; 0/Interleukin-6; 0/Pyridazines; 114471-18-0/Natriuretic Peptide, Brain; 131741-08-7/simendan

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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