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Case Reports
. 2017:2017:7329213.
doi: 10.1155/2017/7329213. Epub 2017 Aug 6.

Acute Heart Failure Exacerbation with Cardiogenic Shock and Elevated Systemic Vascular Resistance Treated with a Combination of Nicardipine and Dobutamine Therapy

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Case Reports

Acute Heart Failure Exacerbation with Cardiogenic Shock and Elevated Systemic Vascular Resistance Treated with a Combination of Nicardipine and Dobutamine Therapy

Lydia E Issac et al. Case Rep Cardiol. 2017.

Abstract

Acute heart failure is a common reason for hospital admission and is usually caused by decreased cardiac output either as a result of an intrinsic cardiac issue or as a result of severe hypertension with elevated afterload. We present a patient with a history of HFrEF who presented with acute heart failure, found to have hypotension requiring Dobutamine support and an elevated systemic vascular resistance requiring Nicardipine drip, with subsequent recovery of cardiac function.

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References

    1. Kuhn C., Werdan K. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich, Germany: Elsevier; 2001. https://www.ncbi.nlm.nih.gov/books/NBK6895/
    1. Lang R. M., Borow K. M., Neumann A., Janzen D. Systemic vascular resistance: an unreliable index of left ventricular afterload. Circulation. 1986;74(5):1114–1123. doi: 10.1161/01.CIR.74.5.1114. - DOI - PubMed
    1. Roger V. L. Epidemiology of heart failure. Circulation Research. 2013;113(6):646–659. doi: 10.1161/CIRCRESAHA.113.300268. - DOI - PMC - PubMed
    1. Elkayam U., Janmohamed M., Habib M., Hatamizadeh P. Vasodilators in the management of acute heart failure. Critical Care Medicine. 2008;36(1):S95–S105. doi: 10.1097/01.CCM.0000297161.41559.93. - DOI - PubMed
    1. Aroney C. N., Semigran M. J., Dec G. W., Boucher C. A., Fifer M. A. Inotropic effect of nicardipine in patients with heart failure: assessment by left ventricular end-systolic pressure-volume analysis. Journal of the American College of Cardiology. 1989;14(5):1331–1338. doi: 10.1016/0735-1097(89)90437-3. - DOI - PubMed

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