Source:http://linkedlifedata.com/resource/pubmed/id/16489528
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1-2
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pubmed:dateCreated |
2006-2-20
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pubmed:abstractText |
Aortic valve replacement in patients suffering from low-gradient aortic stenosis and congestive heart failure is associated with high operative mortality, and the perioperative use of inotropes is common. Levosimendan is a calcium sensitizer with positive inotropic and vasodilatory effects and has been developed for treatment of decompensated heart failure. Although its use in patients with low-gradient aortic stenosis is not established, we hypothesized that it might have beneficial effects on outcome after aortic valve replacement. We report on a high-risk operation in a 73-year-old man with low-gradient aortic stenosis, congestive heart failure and coronary artery disease. Levosimendan was administered perioperatively (0.1 mg/kg/min 16 hours prior to the operation without a loading dose) and allowed rapid recovery of the patient, who required only brief treatment in the intensive care unit. No levosimendan-specific adverse events were observed, in particular no hypotension. The excellent postoperative result was maintained after the patient was discharged from hospital.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0043-5325
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
118
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
60-2
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pubmed:meshHeading |
pubmed-meshheading:16489528-Aged,
pubmed-meshheading:16489528-Aortic Valve Stenosis,
pubmed-meshheading:16489528-Heart Valve Prosthesis Implantation,
pubmed-meshheading:16489528-Humans,
pubmed-meshheading:16489528-Hydrazones,
pubmed-meshheading:16489528-Male,
pubmed-meshheading:16489528-Perioperative Care,
pubmed-meshheading:16489528-Pyridazines,
pubmed-meshheading:16489528-Severity of Illness Index,
pubmed-meshheading:16489528-Treatment Outcome,
pubmed-meshheading:16489528-Vasodilator Agents,
pubmed-meshheading:16489528-Ventricular Dysfunction, Left
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pubmed:year |
2006
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pubmed:articleTitle |
Successful administration of levosimendan in a patient with low-gradient low-output aortic stenosis.
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pubmed:affiliation |
Department of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria. daniel.hoefer@uibk.ac.at
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pubmed:publicationType |
Journal Article,
Case Reports
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