Loss of metabolic flexibility in the failing heart

QG Karwi, GM Uddin, KL Ho… - Frontiers in cardiovascular …, 2018 - frontiersin.org
To maintain its high energy demand the heart is equipped with a highly complex and
efficient enzymatic machinery that orchestrates ATP production using multiple energy …

Levosimendan: molecular mechanisms and clinical implications: consensus of experts on the mechanisms of action of levosimendan

Z Papp, I Édes, S Fruhwald, SG De Hert… - International journal of …, 2012 - Elsevier
The molecular background of the Ca2+-sensitizing effect of levosimendan relates to its
specific interaction with the Ca2+-sensor troponin C molecule in the cardiac myofilaments …

High Levels of Circulating Epinephrine Trigger Apical Cardiodepression in a β2-Adrenergic Receptor/Gi–Dependent Manner: A New Model of Takotsubo …

H Paur, PT Wright, MB Sikkel, MH Tranter… - Circulation, 2012 - Am Heart Assoc
Background—Takotsubo cardiomyopathy is an acute heart failure syndrome characterized
by myocardial hypocontractility from the mid left ventricle to the apex. It is precipitated by …

Acute hemodynamic and clinical effects of levosimendan in patients with severe heart failure

MT Slawsky, WS Colucci, SS Gottlieb, BH Greenberg… - Circulation, 2000 - Am Heart Assoc
Background—We determined the short-term hemodynamic and clinical effects of
levosimendan, a novel calcium-sensitizing agent, in patients with decompensated heart …

Why has positive inotropy failed in chronic heart failure? Lessons from prior inotrope trials

T Ahmad, PE Miller, M McCullough… - European journal of …, 2019 - Wiley Online Library
Current pharmacological therapies for heart failure with reduced ejection fraction are largely
either repurposed anti‐hypertensives that blunt overactivation of the neurohormonal system …

Levosimendan, a novel Ca2+ sensitizer, activates the glibenclamide-sensitive K+ channel in rat arterial myocytes

H Yokoshiki, Y Katsube, M Sunagawa… - European journal of …, 1997 - Elsevier
The electrophysiological effect of levosimendan, a novel Ca2+-sensitizing positive inotropic
agent and vasodilator, was examined on rat mesenteric arterial myocytes using the patch …

Influence of the novel inotropic agent levosimendan on isometric tension and calcium cycling in failing human myocardium

G Hasenfuss, B Pieske, M Castell, B Kretschmann… - Circulation, 1998 - Am Heart Assoc
Background—Levosimendan was shown to increase calcium sensitivity by a novel
mechanism and to inhibit phosphodiesterase III activity in animal myocardium. Methods and …

Effects of a new calcium sensitizer, levosimendan, on haemodynamics, coronary blood flow and myocardial substrate utilization early after coronary artery bypass …

J Lilleberg, MS Nieminen, J Akkila… - European Heart …, 1998 - academic.oup.com
Aims The aim of the study was to evaluate the effects on systemic and coronary
haemodynamics and myocar-dial substrate utilization of a new calcium sensitizer …

Levosimendan, a new positive inotropic drug, decreases myocardial infarct size via activation of KATP channels

JR Kersten, MW Montgomery, PS Pagel… - Anesthesia & …, 2000 - journals.lww.com
We tested the hypothesis that levosimendan, a new positive inotropic drug that activates
adenosine triphosphate-regulated potassium (K ATP) channels in vitro, decreases …

Pharmacology of levosimendan: inotropic, vasodilatory and cardioprotective effects

A Pathak, M Lebrin, A Vaccaro… - Journal of clinical …, 2013 - Wiley Online Library
What is known and objective Positive inotropic agents are frequently used in acute
decompensated heart failure (ADHF) due to left ventricular systolic dysfunction. These …