The predictive value of QRS duration in response to levosimendan therapy in patients with decompensated heart failure.

Abstract:

PURPOSE:We aimed to investigate the role of QRS duration on the surface electrocardiogram (ECG) in predicting response to levosimendan therapy in patients with acute systolic heart failure. METHODS:Patients with an ejection fraction (EF) lower than 35% who required intravenous inotropic support despite optimal heart failure therapy were included in this study. Patients were divided into two groups according to QRS durations on ECG. Group 1 (n=16) included patients with a QRS duration equal to or shorter than 120 ms and group 2 (n=14) included patients with a QRS duration longer than 120 ms. New York Heart Association (NYHA) functional class, plasma BNP levels and echocardiographic measurements were compared within and between groups before and after the infusion. RESULTS:In both groups statistically significant improvement was observed in NYHA class, plasma BNP levels and left ventricular end-systolic diameter after the levosimendan infusion compared to baseline (P < 0.025). In addition, in group 1 patients, left atrial diameter, left atrial volume, left ventricular end-diastolic diameter, left ventricular end-diastolic volume, left ventricular end-systolic volume (LVESV), left ventricular EF, mitral E velocity, mitral annular Aa and Sa parameters improved after the infusion compared to the baseline values (P < 0.025). Comparison of both groups revealed improvement of NYHA class, an increase of left ventricular EF and a signficant decrease of LVESV after levosimendan in group 1 (P < 0.05). CONCLUSION:QRS duration on ECG may be used as a practical bedside indicator in estimating short-term response to levosimendan therapy.

journal_name

Acta Cardiol

journal_title

Acta cardiologica

authors

Cetin M,Uçar O,Cicekçioğlu H,Güven Cetin Z,Sahin M,Vasfi Ulusoy F,Aydoğdu S

doi

10.1080/ac.67.3.2160721

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

317-23

issue

3

eissn

0001-5385

issn

1784-973X

journal_volume

67

pub_type

杂志文章
  • Light cigarette smoking and vascular function.

    abstract:OBJECTIVE:The present study was undertaken to test the hypothesis that smoking induces peripheral endothelial dysfunction and altered function in central conduit arteries. METHODS:A total of 22 healthy volunteers (10 women and 12 men; mean age 25.3 +/- 5.8 years) were included. At baseline, brachial artery flowmediate...

    journal_title:Acta cardiologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/ac.68.3.2983419

    authors: Ciftçi O,Günday M,Calişkan M,Güllü H,Güven A,Müderrisoğlu H

    更新日期:2013-06-01 00:00:00

  • Plasma BNP levels are determined by the severity of left ventricular systolic dysfunction but not the types of underlying heart disease.

    abstract:OBJECTIVES:The primary aim of the study was to investigate whether there is a difference in plasma B-type natriuretic peptide (BNP) levels among the left ventricular systolic dysfunction caused by different types of heart disease. METHODS AND RESULTS:Plasma BNP was measured in patients with left ventricular systolic d...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.60.3.2005008

    authors: Wei T,Zeng C,Chen Q,Chen L,Zhao R,Lu G,Lu C,Wang L

    更新日期:2005-06-01 00:00:00

  • Acute effects of external and internal pacing on ejection fraction in patients with severe cardiac failure.

    abstract::The present study aims at evaluating the acute hemodynamic effects of external and internal (3 and 15 mA) pacing on 30 patients with severe cardiac failure. The global and regional ejection fraction were calculated by repeated radionuclide ventriculography at rest (control) and during increasing pacing rates. Blood pr...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Toumanidis ST,Danopoulos A,Vassilopoulos N,Nanas SN,Kostamis P,Sideris DA,Moulopoulos SD

    更新日期:1994-01-01 00:00:00

  • Using aortic distensibility index to detect coronary stenosis.

    abstract:OBJECTIVE:The aortic distensibility index, as a measure of vascular function, can serve as a marker of coronary artery disease severity. This study explores the feasibility of using the non-invasively measured index as an indicator of severity of coronary stenosis. METHODS:One hundred patients with normal left ventric...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/ac.70.4.3096895

    authors: Shehata M,Elsayegh A,Gomaa Y,Gamal M

    更新日期:2015-08-01 00:00:00

  • Implantable Holter may reveal cause of unexplained syncope.

    abstract::A definitive diagnosis in patients with syncope is often problematic if the cause is not evident after initial clinical assessment. The cause of syncope may be not established due to the infrequent, episodic occurrence. A symptom-rhythm correlation is frequently an unattainable gold standard in many patients. The impl...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Dionísio P,Vestraets A,Vandenbulcke F,Depuydt P,Stroobandt R

    更新日期:1998-01-01 00:00:00

  • Ortner's syndrome, presentation of two cases with cardiovocal hoarseness.

    abstract::We present two cases of Ortner's syndrome, a syndrome with hoarseness caused by unilateral left recurrent laryngeal nerve palsy as a complication of cardiovascular diseases. In the first case, aneurysmatic dilatation of the aorta and in the second case a dilated pulmonary trunk was thought to be the cause. ...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/ac.65.6.2059871

    authors: Van Melle JP,Meyns B,Budts W

    更新日期:2010-12-01 00:00:00

  • Treatment and prevention of primary ventricular fibrillation complicating acute myocardial infarction.

    abstract::Primary ventricular fibrillation especially occurs during the first hours after acute myocardial infarction and is often not preceded by premonitory ventricular premature beats. In hospital primary ventricular fibrillation can be prevented by an intravenous lidocaine regimen in a rather high dosage. By contrast the ef...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Lie KI,Wellens HJ,Liem KL,Durrer D

    更新日期:1977-01-01 00:00:00

  • Subclinical arterial wall damage in patients at low to moderate cardiovascular risk.

    abstract:AIM:The aim of this paper is to study the degree of subclinical arterial wall damage in subjects at low and moderate risk of cardiovascular death by the SCORE scale using instrumental research methods. METHODS:We enrolled 600 patients (mean age 49.0 +/- 7.1 years, 74% women) with a calculated SCORE 5%, who passed a ca...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/ac.70.3.3080631

    authors: Boytcov SA,Urazalina SJ,Kukharchuk VV,Balakhonova TV,Sergienko IV

    更新日期:2015-06-01 00:00:00

  • Prevalence and risk factors for prehypertension and hypertension in five Indian cities.

    abstract:BACKGROUND:There are few studies detailing the prevalence of prehypertension and hypertension in India. METHODS:Men and women, over 25 years of age were included. After completion of a dietitian-administered questionnaire followed evaluation by a physician, physical examination and blood pressure measurement. Cross-se...

    journal_title:Acta cardiologica

    pub_type: 杂志文章,多中心研究

    doi:10.1080/ac.66.1.2064964

    authors: Singh RB,Fedacko J,Pella D,Macejova Z,Ghosh S,de Amit K,Begom R,Tumbis ZA,Haque M,Vajpeyee SK,de Meester F,Sergey C,Agarwalo R,Muthusamy VV,Five City Study Group.,Gupta AK

    更新日期:2011-02-01 00:00:00

  • Relation between coronary artery calcium score and serum tenascin-C level in patients without known coronary artery disease.

    abstract:OBJECTIVE:Presence of coronary artery disease (CAD) also in subjects without traditional risk factors leads to a search for new risk factors. Tenascin-C (TNC), an extracellular matrix glycoprotein is normally found in very low concentrations in tissues and serum of adults, whereas its expression is enhanced in case of ...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.70.6.3120174

    authors: Ozmen Yildiz P,Yildiz I,Ozmen C,Karabacak M,Doven O

    更新日期:2015-12-01 00:00:00

  • Coronary sinus signal amplitude predicts left atrial scarring.

    abstract:BACKGROUND:Left atrial scarring is recognised as a critical component in the maintenance of atrial fibrillation and is associated with the failure of interventional treatment. Diminished bipolar voltage (LV) has been proposed as a useful tool for left atrial scar quantification. We hypothesised that, due to its anatomi...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/00015385.2017.1420438

    authors: Attanasio P,Qaiyumi D,Röhle R,Wutzler A,Safak E,Muntean B,Boldt LH,Pieske B,Haverkamp W,Huemer M

    更新日期:2017-12-22 00:00:00

  • Circulating white blood cell count correlates with left ventricular indices independently of the extent of risk area for myocardial infarction after successful reperfusion.

    abstract:OBJECTIVE:To test the hypothesis that the circulating white blood cell (WBC) and neutrophil counts are related to left ventricular (LV) indices in patients with the same risk area for acute myocardial infarction (AMI), we examined 100 consecutive AMI patients who had the culprit lesion at segment 6 according to the Ame...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.59.5.2005229

    authors: Uesugi T,Iwasaki K,Murakami M,Yamamoto K,Kusachi S,Murakami T,Obika M,Kamikawa S,Miyoshi T,Shiratori Y

    更新日期:2004-10-01 00:00:00

  • Spontaneous carotid artery dissection: a rare cause of cerebrovascular accident.

    abstract::We present the case of a young woman who developed a cerebrovascular accident due to a spontaneous internal carotid artery dissection. We stress the importance of clinical clues to diagnosis: ipsilateral facial pain and a partial Horner's syndrome are the most frequent clinical manifestations. Compared to patients wit...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.62.5.2023422

    authors: Simoens J,François O,Drieghe B

    更新日期:2007-10-01 00:00:00

  • Primary bacterial pericarditis.

    abstract::Purulent pericarditis is rarely the primary site of bacterial infection. It is usually a complication of an infection originating elsewhere in the body, arising by contiguous spread or haematogenous dissemination.This paper, however, describes a previously healthy young man, who developed a purulent streptococcal peri...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.57.5.2005459

    authors: Keersmaekers T,Elshot SR,Sergeant PT

    更新日期:2002-10-01 00:00:00

  • Early and 3 months follow-up results in 22 adult patients undergoing percutaneous transvenous mitral valvuloplasty.

    abstract::Between April 1988 and October 1989, 22 adult patients with isolated or predominant severe mitral stenosis underwent Percutaneous Transvenous Mitral Valvuloplasty (PTMV). In 20 patients, a transseptal double balloon technique was used; in the last 2 patients, dilatation was performed using the Inoué balloon. Immediate...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Benit E,De Geest H,Denef B,Van de Werf F

    更新日期:1990-01-01 00:00:00

  • Noncompaction of ventricular myocardium, complete atrioventricular block and minor congenital heart abnormalities: case report of an unusual coexistence.

    abstract::Ventricular noncompaction is a rare cardiomyopathy characterized by numerous, prominent ventricular trabeculations and deep intertrabecular recesses and is caused by a disorder of endomyocardial morphogenesis. It can occur in patients with other congenital anomalies, such as various ventricular obstructive lesions, or...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.57.3.2005392

    authors: Dağdeviren B,Eren M,Oguz E

    更新日期:2002-06-01 00:00:00

  • A randomized comparison of balloon angioplasty and stent implantation in the percutaneous treatment of coronary bifurcations.

    abstract:OBJECTIVE:A prospective randomized multicentre pilot trial, comparing stenting with balloon angioplasty as a treatment for coronary lesions, located in a bifurcation was performed. METHODS AND RESULTS:After balloon dilatation, with a < 30% residual stenosis in the main vessel and < 50% residual stenosis in the side br...

    journal_title:Acta cardiologica

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.2143/AC.60.4.2004986

    authors: Dens J,Dubois C,Vermeersch P,Coussement P,Vrolix M,Janssens L,Desmet W,Piessens J

    更新日期:2005-08-01 00:00:00

  • Extra- and intracellular recordings from the avjunction: discerning the mechanisms for irregular ventricular responses during supraventricular arrhythmias.

    abstract:INTRODUCTION:There has been a long-standing controversy regarding the mechanism(s) to explain the irregular ventricular response during atrial tachycardia (AT) or atrial fibrillation (AF) and where the site of block, if any, resides in the atrioventricular (AV) junction. METHODS:We studied 12 Langendorff preparations ...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/ac.67.2.2154213

    authors: Liu Y,Scherlag BJ,Yagi T,Patterson E,Jackman WM,Lazzara R,Po SS

    更新日期:2012-04-01 00:00:00

  • Non-bacterial thrombotic endocarditis in cancer patients.

    abstract::A total of 10 cases of non-bacterial thrombotic endocarditis (NBTE) were found among 1640 adult patients, autopsied in a 24-year period. Eight out of 10 patients had an underlying malignant tumor, NBTE was more common in cancer patients than in patients without malignancy (1.25% vs 0.2%, P less than 0.05). Patients wi...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: González Quintela A,Candela MJ,Vidal C,Román J,Aramburo P

    更新日期:1991-01-01 00:00:00

  • Effectiveness of invasive reperfusion therapy and standard medical treatment in AMI.

    abstract:OBJECTIVE:Coronary revascularization methods are among the most common major medical procedures performed in industrialized countries. The short- and long-term comparative effectiveness of different techniques remains undetermined. METHODS AND RESULTS:The study population included all adult patients (94,864 subjects) ...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/ac.65.6.2059861

    authors: D'Errigo P,Seccareccia F,Barone AP,Fusco D,Rosato S,Maraschini A,Colais P,Casali G

    更新日期:2010-12-01 00:00:00

  • Rosuvastatin versus atorvastatin to prevent contrast induced nephropathy in patients undergoing primary percutaneous coronary intervention (ROSA-cIN trial).

    abstract:AIM:We aimed to compare the incidence of contrast-induced nephropathy (CIN) between atorvastatin versus rosuvastatin in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary coronary angioplasty. METHODS:One hundred ninety-two consecutive patients, who underwent primary percutaneous inter...

    journal_title:Acta cardiologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/ac.68.5.2994472

    authors: Kaya A,Kurt M,Tanboğa IH,Işik T,Ekinci M,Aksakal E,Kaya Y,Topçu S,Sevimli S

    更新日期:2013-10-01 00:00:00

  • Non-invasive evaluation of the haemodynamic effects of amiodarone.

    abstract::Sixteen patients were examined hemodynamically with echocardiography, calibrated apexcardiography, and systolic time intervals before treatment, after 1 week treatment with amiodarone 600 mg daily and after 2-4 months treatment with 300 mg daily. During the treatment thyroid function was controlled. The echocardiogram...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Buch J,Andersen ED

    更新日期:1984-01-01 00:00:00

  • Education is critical for medication adherence in patients with coronary heart disease.

    abstract:BACKGROUND:Although non-adherence to medications is associated with increased cardiovascular risks, very little information is focused on the relationship between knowledge and medication adherence among patients with coronary heart disease (CHD). AIM:The purposes were to assess the relationship between medication adh...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/ac.70.2.3073511

    authors: Zhao S,Zhao H,Wang L,Du S,Qin Y

    更新日期:2015-04-01 00:00:00

  • On the determinants of mortality at the population level.

    abstract::To attain a long and healthy life has always been one of the major goals of humanity. The Chinese emperors, the Egyptian pharaohs and the Aztec kings all aspired to become immortal. To try to avoid mortality and to decrease morbidity at the population level is the role of public health, taken in its broadest sense, in...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Kesteloot H

    更新日期:1999-06-01 00:00:00

  • Preoperative use of intra-aortic balloon counterpulsation in very high-risk patients prior to urgent noncardiac surgery.

    abstract::The optimal management of high-risk patients requiring urgent or emergency noncardiac surgery when the options for further testing and evaluation are limited, is unclear. The focus of most of the literature, including the American College of Cardiology/American Heart Association guidelines, has been on patients underg...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.2143/AC.60.5.2004980

    authors: Jafary FH

    更新日期:2005-10-01 00:00:00

  • Pocket haematoma after cardiac electronic device implantation in patients receiving antiplatelet and anticoagulant treatment: a single-centre experience.

    abstract::Objective In modern cardiology practice, implantation of cardiac electronic devices in patients taking anticoagulant or antiplatelet therapy is a common clinical scenario. Bleeding complications are of particular concern in this patient population and pocket haematoma is one of the most frequent complications. We soug...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:10.1080/00015385.2017.1281539

    authors: Demir GG,Guler GB,Guler E,Güneş H,Kizilirmak F,Karaca İO,Omaygenç MO,Çakal B,Olgun E,Savur U,Ibisoglu E,Barutçu I,Kiliçaslan F

    更新日期:2017-02-01 00:00:00

  • Pilot project for registering acute myocardial infarctions in Belgium.

    abstract::In order to prepare Belgian participation in the International Study "Monitoring of trends and determinants in cardiovascular disease (MONICA)", a pilot project for registration of acute myocardial infarctions was organized in the Flemish city of Ghent and the Walloon city of Charleroi. Thanks to the collaboration of ...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Berghmans L,Heyerick P,De Backer G,Kornitzer M,Fux M

    更新日期:1985-01-01 00:00:00

  • Early use of pravastatin in patients with acute myocardial infarction undergoing coronary angioplasty.

    abstract:AIM:To determine whether statin therapy initiated early in acute myocardial infarction together with thrombolytic therapy in patients with acute myocardial infarction results in clinical benefit through early plaque stabilization. METHODS AND RESULTS:The study population consisted of 77 patients who underwent coronary...

    journal_title:Acta cardiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2143/AC.57.4.2005430

    authors: Kayikçioğlu M,Can L,Kültürsay H,Payzin S,Turkoğlu C

    更新日期:2002-08-01 00:00:00

  • Persistent atrial standstill.

    abstract::The authors present a case of permanent atrial standstill with syncopal attacks, in a patient with chronic Chagas' Heart Disease. The recognition of this dysrhythmia was based upon the conventional and intracavity electrocardiographic tracings in addition to phonomecanographic and hemodynamic data. The recording of th...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Benchimol CB,Schlesinger P,Ginefra P,Barbosa S,Saad EA,Benchimol AB

    更新日期:1975-01-01 00:00:00

  • "Torsades de pointe": a distinct entity of ventricular arrhythmia?

    abstract::Seven cases of an unusual type of ventricular arrhythmia, already named "Torsades de pointe" by French authors, are presented. It is characterized by a changing pattern of the ventricular complexes, spontaneous onset and cessation, and refractoriness to defibrillation and antiarrhythmic drugs which decrease intraventr...

    journal_title:Acta cardiologica

    pub_type: 杂志文章

    doi:

    authors: Cokkinos DV,Mallios C,Philias N,Vorides EM

    更新日期:1978-01-01 00:00:00