Περίληψη:
A 32-year-old man with severe congestive heart failure due to idiopathic
cardionnyopathy developed ventricutar tachycardia followed by
etectromechanical dissociation. High doses of conventional inotropic
medications failed to restore haemodynamics. The additional infusion of
levosimendan in conjunction with external chest compressions for 2.5h
restored haemodynamics, followed by complete recovery, including normal
neurological function. The anti-stunning properties of levosimendan
probably attenuated post-ischaemic myocardial dysfunction and helped to
restore normal cardiac output. (c) 2005 Elsevier Ireland Ltd. All rights
reserved.
