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 …

Effects of levosimendan on mortality and hospitalization. A meta-analysis of randomized controlled studies

G Landoni, G Biondi-Zoccai, M Greco… - Critical care …, 2012 - journals.lww.com
Objective: Catecholaminergic inotropes have a place in the management of low output
syndrome and decompensated heart failure but their effect on mortality is debated …

[HTML][HTML] Levosimendan beyond inotropy and acute heart failure: evidence of pleiotropic effects on the heart and other organs: an expert panel position paper

D Farmakis, J Alvarez, TB Gal, D Brito, F Fedele… - International Journal of …, 2016 - Elsevier
Levosimendan is a positive inotrope with vasodilating properties (inodilator) indicated for
decompensated heart failure (HF) patients with low cardiac output. Accumulated evidence …

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 …

Evidence-based use of levosimendan in different clinical settings

L De Luca, WS Colucci, MS Nieminen… - European heart …, 2006 - academic.oup.com
Levosimendan is a new calcium sensitizer and K-ATP channel opener. Compared with other
inodilators, it improves myocardial contractility without increasing oxygen requirements and …

Cardiogenic shock

S Topalian, F Ginsberg, JE Parrillo - Critical care medicine, 2008 - journals.lww.com
Cardiogenic shock is the most common cause of death in patients hospitalized with acute
myocardial infarction and is associated with a poor prognosis. More than 75% of cases are …

Effects of istaroxime on diastolic stiffness in acute heart failure syndromes: results from the Hemodynamic, Echocardiographic, and Neurohormonal Effects of …

SJ Shah, JEA Blair, GS Filippatos, C Macarie… - American heart …, 2009 - Elsevier
BACKGROUND: Istaroxime is a novel intravenous agent with inotropic and lusitropic
properties related to inhibition of the Na+/K+ adenosine triphosphatase and stimulation of …

Clinical pharmacology of levosimendan

S Antila, S Sundberg, LA Lehtonen - Clinical pharmacokinetics, 2007 - Springer
Levosimendan has been developed for the treatment of decompensated heart failure and is
used intravenously when patients with heart failure require immediate initiation of drug …

Levosimendan protects against experimental endotoxemic acute renal failure

RA Zager, AC Johnson, S Lund… - American Journal …, 2006 - journals.physiology.org
Endotoxemia induces a hemodynamic form of acute renal failure (ARF; renal
vasoconstriction±reduced glomerular ultrafiltration coefficient, K f; minimal/no histological …

[HTML][HTML] Calcium sensitizers: what have we learned over the last 25 years?

P Pollesello, Z Papp, JG Papp - International journal of cardiology, 2016 - Elsevier
The use of inotropes for correcting hemodynamic dysfunction in patients with congestive
heart failure has been described over many decades. Drugs such as cardiac glycosides …