Shiming Ji
China
Research Article
A Comparison of Haemodynamic Effects and Safety between Domestic Levosimendan versus Dobutamine for Hospitalized Patients with Acute Decompensated Heart Failure
Author(s): Tianyi Gan, Xuemei Zhao, Yan Huang,Yuhui Zhang, Enming Qing, Hui li, Yingxian Sun, Lin Zhang, Xiaojuan Bai, Wenxian Liu, Yinong Jiang, Peng Qu, Bingqi Wei, Qiong Zhou, Shiming Ji and Jian Zhang
Tianyi Gan, Xuemei Zhao, Yan Huang,Yuhui Zhang, Enming Qing, Hui li, Yingxian Sun, Lin Zhang, Xiaojuan Bai, Wenxian Liu, Yinong Jiang, Peng Qu, Bingqi Wei, Qiong Zhou, Shiming Ji and Jian Zhang
Aims: This study was a phase II trial of efficacy and safety of intravenous treatment with domestic levosimendan versus dobutamine in hospitalized patients with acute decompensated heart failure (ADHF). Methods and results: This was a multicentre, positive-controlled, prospective randomized open-label blinded study. A total of 228 ADHF patients from 8 medical centres were received 24 h intravenous domestic levosimendan (n=114) or dobutamine (n=114) therapy. SWAN-GANZ catheter was applied for patients with Pulmonary Capillary Wedge Pressure (PCWP) ≥ 15 mmHg and Cardiac Index (CI) ≤ 2.5 L/min/m2 (n=39 each). Compared with baseline level, left ventricular ejection fraction (LVEF) increased at 24 h in both groups (31.56% versus 28.44%, P<0.01). The change rate of LVEF at 24 h was similar between two groups (10.9% versus 12.7%, P>0.05). The change rate of PCWP at 24 h was remar.. View More»
DOI:
10.4172/2329-6607.1000186