TY - JOUR TI - Efficacy and safety of intermittent, long-term, concomitant dobutamine and levosimendan infusions in severe heart failure refractory to dobutamine alone AU - Nanas, JN AU - Papazoglou, P AU - Tsagalou, EP AU - Ntalianis, A and AU - Tsolakis, E AU - Terrovitis, JV AU - Kanakakis, J AU - Nanas, SN and AU - Alexopoulos, GP AU - Anastasiou-Nana, MI JO - AMERICAN JOURNAL OF CARDIOLOGY PY - 2005 VL - 95 TODO - 6 SP - 768-771 PB - Excerpta Medica Inc. SN - 0002-9149 TODO - 10.1016/j.amjcard.2004.11.033 TODO - null TODO - 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. ER -