COMPARATIVE ASSESSMENT OF THE EFFECTS OF DOBUTAMINE AND LEVOSIMENDAN ON RIGHT VENTRICULAR EJECTION FRACTION IN PATIENTS WITH BIVENTRICULAR HEART FAILURE

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dc.authoridAydin, Cihan/0000-0002-1401-5727
dc.authoridKaplangoray, Mustafa/0000-0002-4297-1820
dc.contributor.authorKaplangoray, Mustafa
dc.contributor.authorAydin, Cihan
dc.date.accessioned2024-10-29T17:58:58Z
dc.date.available2024-10-29T17:58:58Z
dc.date.issued2023
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractAim The primary objective of this study was to comparatively assess the effects of levosimendan and dobutamine on RVEF, right ventricular diastolic function, and hormonal balance in patients with biventricular heart failure. The secondary objective was to investigate the relationship between the RVEF and the peak systolic velocity (Sa), an indicator of right ventricular systolic function, as measured by tissue Doppler echocardiography from the tricuspid annulus, and by the tricuspid annular plane systolic excursion (TAPSE).Material and Methods The population of this cross-sectional, single-center, prospective study was comprised of 81 patients, who between December 2019 and January 2022, applied to the study health institution with diagnosis of ADHF. The study sample included 67 biventricular heart failure patients with left ventricular ejection fraction (LVEF) <35 % and RVEF <50 %, as measured by the ellipsoidal shell model, and who met the other study inclusion criteria. Of these 67 patients, 34 were treated with levosimendan, and 33 were treated with dobutamine. RVEF, LVEF, Sa, peak early (Ea) and peak late (Aa) annular velocities, Ea / Aa ratio, TAPSE, systolic pulmonary artery pressure (SPAP), n-terminal pro-brain natriuretic peptide (NT-pro BNP), and functional capacity (FC) were measured before treatment and at 48 hrs of treatment. The within group pre-and post-treatment differences (& UDelta;s) of these variables were compared.Results RVEF, SPAP, and BNP, and FC significantly improved in both treatment groups (p<0.05 for all). Sa (p<0.01), TAPSE (p<0.01), LVEF (p<0.01), and Ea / Aa (p<0.05) improved only in the levosimendan group. The pre-and post-treatment & UDelta;s for RVEF, LVEF, SPAP, Sa, TAPSE, FC, and Ea / Aa were higher in the levosimendan group than in the dobutamine group (p<0.05 for all).Conclusion Compared to dobutamine, levosimendan produced greater improvement in right ventricular systolic and diastolic function in patients with biventricular heart failure and in need of inotropic therapy support.
dc.identifier.doi10.18087/cardio.2023.2.n2157
dc.identifier.endpage51
dc.identifier.issn0022-9040
dc.identifier.issue2en_US
dc.identifier.pmid36880143
dc.identifier.startpage46
dc.identifier.urihttps://doi.org/10.18087/cardio.2023.2.n2157
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14577
dc.identifier.volume63
dc.identifier.wosWOS:001042424000006
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherRussian Heart Failure Soc
dc.relation.ispartofKardiologiya
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectLevosimendan
dc.subjectdobutamine
dc.subjectheart failure
dc.subjectright ventricular systolic dysfunction
dc.titleCOMPARATIVE ASSESSMENT OF THE EFFECTS OF DOBUTAMINE AND LEVOSIMENDAN ON RIGHT VENTRICULAR EJECTION FRACTION IN PATIENTS WITH BIVENTRICULAR HEART FAILURE
dc.typeArticle

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