• Recenti Prog Med · Jul 2004

    Review

    [Levosimendan in heart failure].

    • Laura Scelsi, Carlo Campana, Stefano Ghio, Lorenzo Monti, Cristina Opasich, Stefania De Feo, Franco Cobelli, Mario Orlandi, Giuseppe Di Pasquale, and Luigi Tavazzi.
    • Unità Cardiomiopatie, Scompenso cardiaco e Trapianto di Cuore, Divisione di Cardiologia, IRCCS Policlinico San Matteo, Pavia. emilio.corbellini@tin.it
    • Recenti Prog Med. 2004 Jul 1; 95 (7-8): 376-83.

    AbstractClinical trials investigating traditional inotropic agents in patients with heart failure demonstrated an increased mortality rate (odds ratio 1.50; IC=0.51-3.92), high incidence of discontinuation of infusion therapy (odds ratio 0.46; IC=0.083-2.29) due to major side effects and, most of all, a limited clinical benefit (odds ratio 0.75; IC=1.42-0.08). On this background a new class of inotropic drugs, the calcium-sensitisers, have been developed. The safety and efficacy of levosimendan (Simdax) has been recently demonstrated in trials (LIDO e RUSSLAN) in patients with heart failure due to ischemic and not ischemic disease. Twenty-six patients with decompensated heart failure of different etiology have been treated with 24 hour infusion of levosimendan. In this experience the levosimendan improved the clinical status and the left ventricular ejection fraction.

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