@article{3093624, title = "Efficacy and safety of intermittent, long-term, concomitant dobutamine and levosimendan infusions in severe heart failure refractory to dobutamine alone", author = "Nanas, JN and Papazoglou, P and Tsagalou, EP and Ntalianis, A and and Tsolakis, E and Terrovitis, JV and Kanakakis, J and Nanas, SN and and Alexopoulos, GP and Anastasiou-Nana, MI", journal = "AMERICAN JOURNAL OF CARDIOLOGY", year = "2005", volume = "95", number = "6", pages = "768-771", publisher = "Excerpta Medica Inc.", issn = "0002-9149", doi = "10.1016/j.amjcard.2004.11.033", abstract = "Thirty-six consecutive patients in New York Heart Association functional class IV, who were resistant to 24-hour continuous dobutamine infusion, were treated with continuous infusions of dobutamine 10 mu g/kg/min for >= 48 hours (group I, In = 18), followed by weekly intermittent 8-hour infusions or more often if needed. In group II (n = 18), after the initial 24-hour infusion of dobutamine, a 24-hour levosimendan infusion was added followed by biweekly 24-hour infusions. The addition of intermittent levosimendan infusions prolonged the survival of patients with advanced heart failure refractory to intermittent dobutamine infusions (45-day survival rates were 6% and 61% in groups I and II, respectively; p = 0.0002, log-rank test). (c) 2005 by Excerpta Medica Inc." }