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Updated: Jul 12, 2025

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Published on: August 16, 2016
Mechanisms of landiolol-mediated positive inotropy in critical care settings
Athanasios Chalkias1,2, E Paul O'Donnell3
1Institute for Translational Medicine and Therapeutics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, 19104-5158, USA. thanoschalkias@yahoo.gr.
Purpose:
To present the potential mechanisms by which landiolol enhances a positive inotropic response in critically ill patients.
Methods:
Analysis of preclinical, animal, and clinical data to provide novel knowledge and translate research findings into potential clinical application.
Results:
The super-selective β1-antagonist landiolol may increase inotropy and may be associated with positive outcomes in critically ill patients with acute decompensated heart failure or sepsis.
Conclusion:
This review sheds light on the potential mechanisms by which landiolol enhances a positive inotropic response, potentially alleviating the long-held concern over possible negative hemodynamic effects in critically ill patients.
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