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Cardiogenic shock: Inotropes and vasopressors

dc.contributor.authorAmado, José
dc.contributor.authorGago, Paula
dc.contributor.authorSantos, Walter
dc.contributor.authorMimoso, Jorge
dc.contributor.authorde Jesus, Ilidio
dc.date.accessioned2017-04-07T15:55:38Z
dc.date.available2017-04-07T15:55:38Z
dc.date.issued2016-12
dc.description.abstractCardiogenic shock is characterized by a decrease in myocardial contractility, and presents a high mortality rate. Inotropic and vasopressor agents have been recommended and used for several years in the treatment of patients in shock, but they remain controversial. Despite its beneficial effect on myocardial contractility, the side effects of inotropic therapy (arrhythmias and increased myocardial oxygen consumption) may be associated with increased mortality.The pharmacodynamics of different inotropic agents suggest benefits in specific situations, but these differences have not been reflected in reduced mortality in most studies, making it difficult to formulate recommendations.This review integrates data from different studies on the use of inotropes and vasopressors in patients with cardiogenic shock, proposing a therapeutic scheme for the pharmacological treatment of patients in cardiogenic shock according to the patient's hemodynamic profile. (C) 2016 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espana, S.L.U. All rights reserved.
dc.identifier.doi10.1016/j.repc.2016.08.004
dc.identifier.issn0870-2551
dc.identifier.urihttp://hdl.handle.net/10400.1/9180
dc.language.isoeng
dc.peerreviewedyes
dc.relation.isbasedonWOS:000388798200008
dc.titleCardiogenic shock: Inotropes and vasopressors
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage695
oaire.citation.issue12
oaire.citation.startPage681
oaire.citation.titleREVISTA PORTUGUESA DE CARDIOLOGIA
oaire.citation.volume35
person.familyNameAmado
person.givenNameJosé
person.identifier.ciencia-id4317-39DD-FD1D
rcaap.rightsopenAccess
rcaap.typearticle
relation.isAuthorOfPublicationd9e20f2d-302a-40b4-8833-6d29d872d36d
relation.isAuthorOfPublication.latestForDiscoveryd9e20f2d-302a-40b4-8833-6d29d872d36d

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