Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Holubarsch, C; Pieske, B; Hasenfuss, G; Just, H.
Use of enoximone in patients with acute and subacute heart failure in the intensive care unit
Z Kardiol. 1994; 83 Suppl 2(2): 21-25.
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- Co-Autor*innen der Med Uni Graz
- Pieske Burkert Mathias
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- Abstract:
- The phosphodiesterase inhibitor enoximone has both vasodilating and positive inotropic pharmacological properties. The balance between vasodilation and positive inotropism may be different between the various types of heart failure as well as the various stages of heart failure. Therefore, we investigated the effect of intravenous application of enoximone (1 mg/kg body weight) in a cohort of patients (n = 10) suffering from acute or subacute heart failure mainly due to ischemia or hypoxia. All patients had high left ventricular filling pressure, low cardiac output and were pretreated with intravenous dobutamine. Enoximone increased cardiac output from 3.2 +/- 1.2 to 5.5 +/- 2.2 l/min, increased heart rate from 94 +/- 20 to 100 +/- 18 beats/min, decreased systemic peripheral resistance from 1770 +/- 861 to 931 +/- 340 dyn.sec.cm-5 and decreased pulmonary wedge pressure from 24 +/- 5 to 20 +/- 6 mmHg, significantly. However, systolic aortic pressure, systolic pulmonary pressure and right atrial pressure were not significantly altered. We conclude that in a selected group of patients enoximone-given intravenously and acutely in the intensive care unity-can induce beneficial effects on central hemodynamics without critical falls in perfusion pressure.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Cardiac Output, Low - drug therapy
- Cohort Studies - drug therapy
- Coronary Disease - drug therapy
- Critical Care - drug therapy
- Dobutamine - administration and dosage
- Dose-Response Relationship, Drug - administration and dosage
- Drug Administration Schedule - administration and dosage
- Drug Therapy, Combination - administration and dosage
- Enoximone - administration and dosage
- Female - administration and dosage
- Heart Failure, Congestive - drug therapy
- Hemodynamic Processes - drug effects
- Humans - drug effects
- Infusions, Intravenous - drug effects
- Male - drug effects
- Middle Aged - drug effects
- Myocardial Contraction - drug effects
- Myocardial Infarction - drug therapy
- Myocardial Ischemia - drug therapy
- Stroke Volume - drug effects
- Vasodilation - drug effects
- Find related publications in this database (Keywords)
- PHOSPHODIESTERASE INHIBITION
- ENOXIMONE POSITIVE INOTROPISM
- VASODILATION
- ACUTE AND SUBACUTE HEART FAILURE
- ISCHEMIC HEART FAILURE