Tailored therapy using dobutamine and nitroglycerin in advanced heart failure

被引:6
作者
Drazner, MH
Solomon, MA
Thompson, B
Yancy, CW
机构
[1] Univ Texas, SW Med Ctr, Div Cardiol, Dallas, TX 75235 USA
[2] St Paul Med Ctr, Dallas, TX USA
关键词
D O I
10.1016/S0002-9149(99)00474-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In 29 patients with advanced heart failure, therapy tailored to hemodynamic goals was attempted using an initial infusion of dobutamine and nitroglycerin (the latter in those with pulmonary hypertension) followed by escalating doses of oral vasodilators. In the 23 patients who were weaned from inodilator therapy, significant improvements in hemodynamic parameters and a low 90-day hospital readmission rate were documented.
引用
收藏
页码:941 / +
页数:4
相关论文
共 10 条
  • [1] EFFECT OF COMBINED NITROGLYCERIN AND DOBUTAMINE INFUSION IN LEFT-VENTRICULAR DYSFUNCTION
    AWAN, NA
    EVENSON, MK
    NEEDHAM, KE
    BEATTIE, JM
    MASON, DT
    [J]. AMERICAN HEART JOURNAL, 1983, 106 (01) : 35 - 40
  • [2] COMPARISON OF INTRAVENOUS MILRINONE AND DOBUTAMINE FOR CONGESTIVE-HEART-FAILURE SECONDARY TO EITHER ISCHEMIC OR DILATED CARDIOMYOPATHY
    BIDDLE, TL
    BENOTTI, JR
    CREAGER, MA
    FAXON, DP
    FIRTH, BG
    FITZPATRICK, PG
    KONSTAM, MA
    KREBS, C
    WALTON, L
    KERSHNER, RP
    JACOBSEN, J
    LUCZKOWEC, CA
    MONTENARO, MJ
    TANDON, PK
    FITZPATRICK, S
    SCHWARZ, RP
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1987, 59 (15) : 1345 - 1350
  • [3] Angiotensin-converting enzyme inhibitors
    Brown, NJ
    Vaughan, DE
    [J]. CIRCULATION, 1998, 97 (14) : 1411 - 1420
  • [4] COLUCCI WS, 1986, CIRCULATION, V73, P175
  • [5] Effects of intravenous milrinone followed by titration of high-dose oral vasodilator therapy on clinical outcome and rehospitalization rates in patients with severe heart failure
    Cusick, DA
    Pfeifer, PB
    Quigg, RJ
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1998, 82 (09) : 1060 - 1065
  • [6] MONRAD ES, 1986, CIRCULATION, V73, P168
  • [7] RUBIN ED, 1992, CHEST, V102, P1842
  • [8] Sustained hemodynamic efficacy of therapy tailored to reduce filling pressures in survivors with advanced heart failure
    Steimle, AE
    Stevenson, LW
    ChelimskyFallick, C
    Fonarow, GC
    Hamilton, MA
    Moriguchi, JD
    Kartashov, A
    Tillisch, JH
    [J]. CIRCULATION, 1997, 96 (04) : 1165 - 1172
  • [9] EFFICACY OF MEDICAL THERAPY TAILORED FOR SEVERE CONGESTIVE HEART-FAILURE IN PATIENTS TRANSFERRED FOR URGENT CARDIAC TRANSPLANTATION
    STEVENSON, LW
    DRACUP, KA
    TILLISCH, JH
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1989, 63 (07) : 461 - 464
  • [10] IMPORTANCE OF HEMODYNAMIC-RESPONSE TO THERAPY IN PREDICTING SURVIVAL WITH EJECTION FRACTION LESS-THAN-OR-EQUAL-TO-20-PERCENT SECONDARY TO ISCHEMIC OR NONISCHEMIC DILATED CARDIOMYOPATHY
    STEVENSON, LW
    TILLISCH, JH
    HAMILTON, M
    LUU, M
    CHELIMSKYFALLICK, C
    MORIGUCHI, J
    KOBASHIGAWA, J
    WALDEN, J
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1990, 66 (19) : 1348 - 1354