Document Detail


Evidence-based use of levosimendan in different clinical settings.
MedLine Citation:
PMID:  16682381     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Levosimendan is a new calcium sensitizer and K-ATP channel opener. Compared with other inodilators, it improves myocardial contractility without increasing oxygen requirements and induces peripheral and coronary vasodilation with a potential anti-stunning, anti-ischaemic effect. The documentation regarding levosimendan is one of the largest ever on the safety and efficacy of a new pharmacological agent in acute heart failure syndromes. Recent experiences in small-scale studies and randomized clinical trials have led to greater interest in the use of this drug for the support of impaired cardiac function also in patients with ischaemic heart disease and cardiogenic or septic shock. It is also demonstrated that this drug could be used as bridge therapy for the peri-operative phase of cardiac surgery in both adult and paediatric populations. This review summarizes the evidence from published scientific literature regarding the use of levosimendan in various clinical settings.
Authors:
Leonardo De Luca; Wilson S Colucci; Markku S Nieminen; Barry M Massie; Mihai Gheorghiade
Publication Detail:
Type:  Journal Article; Review     Date:  2006-04-27
Journal Detail:
Title:  European heart journal     Volume:  27     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-03     Completed Date:  2007-01-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  England    
Other Details:
Languages:  eng     Pagination:  1908-20     Citation Subset:  IM    
Affiliation:
Division of Cardiology, European Hospital, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Adult
Arrhythmias, Cardiac / chemically induced
Cardiotonic Agents / pharmacology,  therapeutic use*
Child
Heart Failure / drug therapy*
Humans
Hydrazones / pharmacology,  therapeutic use*
Intraoperative Care
Myocardial Ischemia / drug therapy*
Pyridazines / pharmacology,  therapeutic use*
Randomized Controlled Trials as Topic
Shock, Cardiogenic / drug therapy*
Chemical
Reg. No./Substance:
0/Cardiotonic Agents; 0/Hydrazones; 0/Pyridazines; 131741-08-7/simendan
Comments/Corrections
Comment In:
Eur Heart J. 2007 Feb;28(4):515   [PMID:  17283001 ]

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


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