ABC Family Arquivos Brasileiros de Cardiologia International Journal of Cardiovascular Sciences ABC Heart Failure & Cardiomyopathy ABC Imagem Cardiovascular
Português English
ABC Family
Português English
  • About
    • About ABC Family
    • Internal Regulation
    • Editorial Board
    • Brazilian Society of Cardiology (SBC)
  • Issues
  • SBC Guidelines
  • Content
    • Videos
    • Podcasts
    • News
  • About
    • About ABC Family
    • Internal Regulation
    • Editorial Board
    • Brazilian Society of Cardiology (SBC)
  • Issues
  • SBC Guidelines
  • Content
    • Videos
    • Podcasts
    • News

ABC Family

  • ABC Family
  • Arquivos Brasileiros de Cardiologia
  • International Journal of Cardiovascular Sciences
  • ABC Heart Failure & Cardiomyopathy
  • ABC Imagem Cardiovascular
Search in

No content found.

Journals
Ordering
Article types
Others

  1. Home
  2. Keyword: Milrinone
Figure 1
ABCHF
Case Report

Implementation of Home Use of Continuous Intravenous Inotrope as Palliative Therapy for a Patient with Advanced Heart Failure within the Brazilian Unified Health System: a Case Report

Ana Paula Chedid Mendes et al. Rita Zambonato Laura C. T. Hastenteufel Letícia Orlandin … Nadine Clausell Livia Adams Goldraich

Introduction

Contemporary evidence-based treatment has modified the natural history of heart failure (HF). Nevertheless, with the current aging of the population with HF and the elevated number of comorbidities, there is a large proportion of individuals who are ineligible for advanced therapies and who could potentially benefit from palliative care. Accordingly, strategies for relieving symptoms and improving quality of life are being prioritized over interventions that aim for medium- and long-term outcomes. For a subgroup of patients with advanced HF receiving palliative care, home therapy with continuous inotropes may be considered and integrated into general palliative care.

[…]

  • Dobutamine
  • Heart Failure
  • Home Care Services
  • Milrinone
  • Palliative Care
Read Full Article
Creative Commons Attribution (CC BY) Creative Commons license
12/04/2022 DOI: 10.36660/abchf.20220024 Views 1
Continuous Intravenous Inotropes in Ward Units: Expanding Therapy Outside Intensive Care using a Safety-Oriented Protocol
ABC
Brief Communication

Continuous Intravenous Inotropes in Ward Units: Expanding Therapy Outside Intensive Care using a Safety-Oriented Protocol

Laura Caroline Tavares Hastenteufel et al. Nadine Clausell Jeruza Lavanholi Neyeloff Fernanda Bandeira Domingues … Larissa Gussatschenko Caballero Eneida Rejane Rabelo da Silva Lívia Adams Goldraich

Abstract

Selected clinically stable patients with heart failure (HF) who require prolonged intravenous inotropic therapy may benefit from its continuity out of the intensive care unit (ICU). We aimed to report on the initial experience and safety of a structured protocol for inotropic therapy in non-intensive care units in 28 consecutive patients hospitalized with HF that were discharged from ICU. The utilization of low to moderate inotropic doses oriented by a safety-focused process of care may reconfigure their role as a transition therapy while awaiting definitive advanced therapies and enable early ICU discharge.

  • Cardiotonic Agents
  • Dobutamine
  • Heart Failure/physiopathology
  • Inotropes
  • Milrinone
Read Full Article
Creative Commons Attribution (CC BY) Creative Commons license
06/06/2019 DOI: 10.5935/abc.20190078 Views 1
Assessment of inotropic and vasodilating effects of milrinone lactate in patients with dilated cardiomyopathy and severe heart failure
ABC
Original Article

Assessment of inotropic and vasodilating effects of milrinone lactate in patients with dilated cardiomyopathy and severe heart failure

Edson Antonio Bregagnollo et al. Adjair Humberto Fortes Antonio Carlos Cicogna

OBJECTIVE: To assess the hemodynamic and vasodilating effects of milrinone lactate (ML) in patients with dilated cardiomyopathy (DCM) and New York Heart Association (NYHA) class III and IV heart failure. METHODS: Twenty patients with DCM and NYHA class III and IV heart failure were studied. The hemodynamic and vasodilating effects of ML, administered intravenously, were evaluated. The following variables were compared before and during drug infusion: cardiac output (CO) and cardiac index (CI); pulmonary capillary wedge pressure (PCWP); mean aortic pressure (MAP); mean pulmonary artery pressure (MPAP); mean right atrial pressure (MRAP); left ventricular systolic and end-diastolic pressures (LVSP and LVEDP, respectively); peak rate of left ventricular pressure rise (dP/dt); systemic vascular resistance (SVR); pulmonary vascular resistance (PVR); and heart rate (HR). RESULTS: All patients showed a significant improvement of the analysed parameters of cardiac performance with an increase of CO and CI; a significant improvement in myocardial contractility (dP/dt) and reduction of the LVEDP; PCWP; PAP; MAP; MRAP; SVR; PVR. Were observed no significant increase in HR occurred. CONCLUSION: Milrinone lactate is an inotropic dilating drug that, when administered intravenously, has beneficial effects on cardiac performance and myocardial contractility. It also promotes reduction of SVR and PVR in patients with DCM and NYHA class III and IV of heart failure.

  • Heart Failure
  • inotropic agents
  • Milrinone
Read Full Article
Creative Commons Attribution (CC BY) Creative Commons license
08/01/2002 DOI: 10.1590/S0066-782X1999000200003

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Mendes APC, Zambonato R, Hastenteufel LCT, Orlandin L, Clausell N, Goldraich LA. Implementation of Home Use of Continuous Intravenous Inotrope as Palliative Therapy for a Patient with Advanced Heart Failure within the Brazilian Unified Health System: a Case Report. ABC Heart Fail Cardiomyop 2022;2(1):123-5.

Electronic Document Format (ABNT)

Mendes, Ana Paula Chedid; Zambonato, Rita; Hastenteufel, Laura C. T.; Orlandin, Letícia; Clausell, Nadine; Goldraich, Livia Adams. Implementation of Home Use of Continuous Intravenous Inotrope as Palliative Therapy for a Patient with Advanced Heart Failure within the Brazilian Unified Health System: a Case Report. ABC Heart Fail Cardiomyop, v. 2, n. 1, p. 123-125, Apr. 2022.

Electronic Document Format (APA)

Mendes, A. P. C., Zambonato, R., Hastenteufel, L. C. T., Orlandin, L., Clausell, N., & Goldraich, L. A. (2022). Implementation of Home Use of Continuous Intravenous Inotrope as Palliative Therapy for a Patient with Advanced Heart Failure within the Brazilian Unified Health System: a Case Report. ABC Heart Fail Cardiomyop, 2(1), 123-125.

Electronic Document Format (ISO)

Mendes, Ana Paula Chedid and Zambonato, Rita and Hastenteufel, Laura C. T. and Orlandin, Letícia and Clausell, Nadine and Goldraich, Livia Adams. Implementation of Home Use of Continuous Intravenous Inotrope as Palliative Therapy for a Patient with Advanced Heart Failure within the Brazilian Unified Health System: a Case Report. ABC Heart Fail Cardiomyop [online]. 2022, vol. 2, n. 1, [cited 2026-10-14], pp. 123-125. Available from: <https://journals.cardiol.br/en/article/implementation-of-home-use-of-continuous-intravenous-inotrope-as-palliative-therapy-for-a-patient-with-advanced-heart-failure-within-the-brazilian-unified-health-system-a-case-report/>

EndNote RIS

Electronic Document Format (Vancouver)

Hastenteufel LCT, Clausell N, Neyeloff JL, Domingues FB, Caballero LG, Silva ERR, Goldraich LA, et al. Continuous Intravenous Inotropes in Ward Units: Expanding Therapy Outside Intensive Care using a Safety-Oriented Protocol. Arquivos Brasileiros de Cardiologia 2019;112(5):573-6.

Electronic Document Format (ABNT)

Hastenteufel, Laura Caroline Tavares; Clausell, Nadine; Neyeloff, Jeruza Lavanholi; Domingues, Fernanda Bandeira; Caballero, Larissa Gussatschenko; Silva, Eneida Rejane Rabelo da; Goldraich, Lívia Adams. Continuous Intravenous Inotropes in Ward Units: Expanding Therapy Outside Intensive Care using a Safety-Oriented Protocol. Arquivos Brasileiros de Cardiologia, v. 112, n. 5, p. 573-576, Jun. 2019.

Electronic Document Format (APA)

Hastenteufel, L. C. T., Clausell, N., Neyeloff, J. L., Domingues, F. B., Caballero, L. G., Silva, E. R. R. , & Goldraich, L. A. (2019). Continuous Intravenous Inotropes in Ward Units: Expanding Therapy Outside Intensive Care using a Safety-Oriented Protocol. Arquivos Brasileiros de Cardiologia, 112(5), 573-576.

Electronic Document Format (ISO)

Hastenteufel, Laura Caroline Tavares and Clausell, Nadine and Neyeloff, Jeruza Lavanholi and Domingues, Fernanda Bandeira and Caballero, Larissa Gussatschenko and Silva, Eneida Rejane Rabelo da and Goldraich, Lívia Adams. Continuous Intravenous Inotropes in Ward Units: Expanding Therapy Outside Intensive Care using a Safety-Oriented Protocol. Arquivos Brasileiros de Cardiologia [online]. 2019, vol. 112, n. 5, [cited 2026-10-14], pp. 573-576. Available from: <https://journals.cardiol.br/en/article/continuous-intravenous-inotropes-in-ward-units-expanding-therapy-outside-intensive-care-using-a-safety-oriented-protocol/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Bregagnollo EA, Fortes AH, Cicogna AC. Assessment of inotropic and vasodilating effects of milrinone lactate in patients with dilated cardiomyopathy and severe heart failure. Arquivos Brasileiros de Cardiologia 2002;72(2):149-60.

Electronic Document Format (ABNT)

Bregagnollo, Edson Antonio; Fortes, Adjair Humberto; Cicogna, Antonio Carlos. Assessment of inotropic and vasodilating effects of milrinone lactate in patients with dilated cardiomyopathy and severe heart failure. Arquivos Brasileiros de Cardiologia, v. 72, n. 2, p. 149-160, Jan. 2002.

Electronic Document Format (APA)

Bregagnollo, E. A., Fortes, A. H., & Cicogna, A. C. (2002). Assessment of inotropic and vasodilating effects of milrinone lactate in patients with dilated cardiomyopathy and severe heart failure. Arquivos Brasileiros de Cardiologia, 72(2), 149-160.

Electronic Document Format (ISO)

Bregagnollo, Edson Antonio and Fortes, Adjair Humberto and Cicogna, Antonio Carlos. Assessment of inotropic and vasodilating effects of milrinone lactate in patients with dilated cardiomyopathy and severe heart failure. Arquivos Brasileiros de Cardiologia [online]. 2002, vol. 72, n. 2, [cited 2026-10-14], pp. 149-160. Available from: <https://journals.cardiol.br/article/assessment-of-inotropic-and-vasodilating-effects-of-milrinone-lactate-in-patients-with-dilated-cardiomyopathy-and-severe-heart-failure/>. ISSN 0066-782X

  • About ABC Family
  • Internal Regulation
  • Editorial Board
  • Brazilian Society of Cardiology (SBC)

Issues

SBC Guidelines

  • Videos
  • Podcasts
  • News