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https://www.thecardiologyadvisor.com/home/decision-support-in-medicine/cardiology/interventional-pharmacology-inotropes-and-vasopressors/
Indications and contraindications Inotropes Dopamine. In the cardiac catheterization laboratory, dopamine is indicated in the management of cardiogenic or vasodilatory shock and in patients with symptomatic bradycardia unresponsive to atropine or pacing. Dopamine is contraindicated in patients with atrial fibrillation and other tachyarrhythmias.
https://www.pharmaceutical-journal.com/learning/learning-article/use-of-inotropes-in-critical-care/11049283.fullarticle
Isoprenaline has a similar profile to dobutamine but tends to cause more tachycardia. It is sometimes used for bradycardic patients requiring inotropic support. Noradrenaline. Because noradrenaline acts primarily via a 1 receptors, it is usually used as a vasopressor (increasing SVR to maintain MAP) rather than an inotrope. It is often used ...
https://www.texasheart.org/heart-health/heart-information-center/topics/inotropic-agents/
Inotropic agents, or inotropes, are medicines that change the force of your heart's contractions. Positive inotropes strengthen the force of the heartbeat. Negative inotropes weaken the force of the heartbeat. Both kinds are used in the treatment of many different cardiovascular conditions.
https://www.uptodate.com/contents/inotropic-agents-in-heart-failure-with-reduced-ejection-fraction
May 25, 2018 · INDICATIONS. Intravenous therapy — Intravenous inotropic agents such as phosphodiesterase (PDE) inhibitors and beta adrenergic receptor agonists are used in selected patients with HFrEF requiring short-term or longer-term hemodynamic support. In some countries outside of the United Sates, the intravenous calcium-sensitizing agent levosimendan ...
https://globalrph.com/drugs/vasopressors-and-inotropes/
Phosphodiesterase inhibitor with positive inotropic and vasodilator activity. FDA labeled indications: CHF, acute (short-term treatment). Non-FDA labeled indications: Cardiac surgery/low cardiac output states. Inotropic support (Advance cardiac life support).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4691094/
Dec 04, 2015 · Due to advancements in advanced heart failure therapies, including transplant and mechanical circulatory support, their use is becoming more common for other indications. Inotropes can be used in patients with severe systolic heart failure awaiting heart transplant to maintain hemodynamic stability, or as a bridge to decision.Cited by: 30
https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.109.899294
If patients are hospitalized with clinical evidence of shock, inotropic support is clearly indicated as a temporary measure until stabilized on oral agents or bridged to transplant or mechanical assist device. Continuous home inotropes may also be considered for end-stage patients as a palliative measure.Cited by: 59
http://www.nhia.org/ac12/handouts/documents/13-D-Schaps-1-slide.pdf
Reimbursement Guidelines For end‐stage CHF patients who are not eligible for transplant, inotropic therapy may be a long‐term proposition. It may be in the patient’s best interest to evaluate them for Medicare coverage criteria even if they have private insurance.
https://www.drugs.com/drug-class/inotropic-agents.html
Inotropic agents are a group of medicines that affect the contraction of the heart muscle. Technically, inotropes can be divided into positive inotropes, which stimulate and increase the force of contraction of the heart muscle, and negative inotropes, which weaken the force of muscular contractions, decreasing how hard the heart has to work.
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