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Published on: April 8, 2013
Levosimendan improves postoperative heart function recovery and prognosis in patients with heart disease
Yu Liu1, Linli Liu1, Fang Yan1
1Department of Cardiac Surgery, The Second Hospital of Hebei Medical University Shijiiazhuang 050000, Hebei, China.
Insights
Levosimendan improves cardiac function and quality of life in post-cardiac surgery patients. This treatment also reduces intensive care unit and hospitalization stays, enhancing overall patient prognosis.
Area of Science:
- Cardiology
- Pharmacology
- Critical Care Medicine
Background:
- Levosimendan is known to reduce mortality and complications in cardiac surgery patients.
- This study investigates levosimendan's impact on post-operative recovery in heart disease patients.
Purpose of the Study:
- To evaluate the effect of levosimendan on cardiac function recovery.
- To assess the impact of levosimendan on quality of life and prognosis after cardiac surgery.
Main Methods:
- Retrospective study of 93 cardiac surgery patients (53 levosimendan, 40 control).
- Compared ICU and hospitalization length, hemodynamic parameters (MAP, CVP, HR), cardiac function indices (LVEDV, LVESV, LVEF, CI), and biomarkers (hs-cTnI, CK-MB, NT-proBNP).
- Analyzed stroke volume index (SVI), left ventricular stroke work index (LVSWI), and systemic vascular resistance index (SVRI).
Main Results:
- Shorter ICU and hospital stays in the levosimendan group.
- Improved cardiac function (higher LVEF, CI, SVI, LVSWI) and reduced cardiac stress markers (lower hs-cTnI, NT-proBNP, SVRI) with levosimendan.
- Enhanced quality of life and reduced mortality risk observed in patients receiving levosimendan.
Conclusions:
- Levosimendan significantly improves cardiac function post-surgery.
- The drug enhances patient quality of life and prognosis after cardiac procedures.
- Levosimendan warrants clinical promotion for its benefits in cardiac surgery recovery.
Background:
Previous studies have shown that levosimendan can reduce mortality and complications in patients undergoing cardiac surgery. The purpose of this study was to investigate the effect of levosimendan on the recovery of cardiac function, quality of life and prognosis in patients with heart disease after operation.
Methods:
From October 2017 to August 2019, 93 patients admitted to our hospital for cardiac surgery were retrospectively enrolled in this study. Fifty-three patients treated with levosimendan were included in the experimental group (EG) and 40 who did not receive levosimendan were recruited into the control group (CG). After operation, the length of ICU stay and hospitalization, mean arterial pressure, central venous pressure, heart rate, the changes of cardiac parameters (left ventricular end diastolic volume (LVEDV), end-systolic volume (LVESV), left ventricular ejection index (LVEF) and cardiac index (CI) at different time points), and the changes of high sensitive troponin I (hs-cTnI), creatine kinase isoenzyme (CK-MB) and N-terminal pro-brain natriuretic peptide (NT-proBNP) levels were compared between the two groups. The stroke volume index (SVI), left ventricular stroke work index (LVSWI), systemic vascular resistance index (SVRI) and other hemodynamic indexes were also compared.
Results:
The length of ICU stay and hospitalization time in the EG were shorter than those in the CG. After treatment, MAP (mean arterial pressure), CVP (central venous pressure), HR (heart rate), LVEDV, LVESV, HS CTN, NT proBNP and SVRI in the EG were lower than those in the CG group, while LVEF, CI, SVI and LVSWI were higher than those in the CG. The quality of life of patients in the EG was better than that of those in the CG one month after treatment. Logistics regression analysis revealed that the use of levosimendan can reduce the risk of death.
Conclusion:
Levosimendan can improve the cardiac function and prognosis of patients after cardiac surgery, which is worthy of clinical promotion.
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