Inotropic therapy in patients with advanced heart failure. A clinical consensus statement from the Heart Failure Association of the European Society of Cardiology.


Journal

European journal of heart failure
ISSN: 1879-0844
Titre abrégé: Eur J Heart Fail
Pays: England
ID NLM: 100887595

Informations de publication

Date de publication:
04 2023
Historique:
revised: 20 02 2023
received: 27 10 2022
accepted: 24 02 2023
medline: 28 4 2023
pubmed: 28 2 2023
entrez: 27 2 2023
Statut: ppublish

Résumé

This clinical consensus statement reviews the use of inotropic support in patients with advanced heart failure. The current guidelines only support use of inotropes in the setting of acute decompensated heart failure with evidence of organ malperfusion or shock. However, inotropic support may be reasonable in other patients with advanced heart failure without acute severe decompensation. The clinical evidence supporting use of inotropes in these situations is reviewed. Particularly, patients with persistent congestion, systemic hypoperfusion, or advanced heart failure with need for palliation, and specific situations relevant to implantation of left ventricular assist devices or heart transplantation are discussed. Traditional and novel drugs with inotropic effects are discussed and use of guideline-directed therapy during inotropic support is reviewed. Finally, home inotropic therapy is described, and palliative care and end-of-life aspects are reviewed in relation to management of ongoing inotropic support (including guidance for maintenance and weaning of chronic inotropic therapy support).

Identifiants

pubmed: 36847113
doi: 10.1002/ejhf.2814
doi:

Substances chimiques

Cardiotonic Agents 0
Cardiovascular Agents 0

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

457-468

Informations de copyright

© 2023 The Authors. European Journal of Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.

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Auteurs

Finn Gustafsson (F)

Department of Cardiology, Rigshospitalet, University of Copenhagen, København, Denmark.

Kevin Damman (K)

University of Groningen, Department of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.

Sanem Nalbantgil (S)

Cardiology Department, Faculty of Medicine, Ege University, İzmir, Turkey.

Linda W Van Laake (LW)

Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.

Laurens F Tops (LF)

Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.

Thomas Thum (T)

Institute of Molecular and Therapeutic Strategies (IMTTS), Hannover Medical School, and Fraunhofer Institute of Toxicology and Experimental Medicine, Hannover, Germany.

Stamatis Adamopoulos (S)

Onassis Cardiac Surgery Center, Athens, Greece.

Michael Bonios (M)

Onassis Cardiac Surgery Center, Athens, Greece.

Andrew Js Coats (AJ)

University of Warwick, Coventry, UK.

Maria G Crespo-Leiro (MG)

Servicio de Cardiología, Complejo Hospitalario Universitario de A Coruña (CHUAC), CIBERCV, Instituto de Investigación Biomédica de A Coruña (INIBIC), A Coruña, Spain.

Mandeep R Mehra (MR)

Center for Advanced Heart Disease, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.

Gerasimos Filippatos (G)

Heart Failure Unit, Department of Cardiology, Athens University Hospital, Attikon, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.

Loreena Hill (L)

School of Nursing & Midwifery, Queen's University, Belfast, UK.

Marco Metra (M)

Cardiology, ASST Spedali Civili and University of Brescia, Brescia, Italy.

Ewa Jankowska (E)

Institute of Heart Diseases, Wroclaw Medical University and Institute of Heart Diseases, University Hospital, Wroclaw, Poland.

Nicolaas de Jonge (N)

Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.

David Kaye (D)

The Alfred Hospital, Melbourne, Vic, Australia; Baker Heart and Diabetes Institute, Melbourne, Australia.

Marco Masetti (M)

Heart Failure and Transplant Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

John Parissis (J)

Heart Failure Unit and University Clinic of Emergency Medicine, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece.

Davor Milicic (D)

Department of Cardiovascular Diseases, University of Zagreb School of Medicine & University Hospital Centre Zagreb, Zagreb, Croatia.

Petar Seferovic (P)

Faculty of Medicine, University of Belgrade, and Serbian Academy of Arts and Sciences, Belgrade, Serbia.

Giuseppe Rosano (G)

St George's University Medical School of London, London, UK.

Tuvia Ben Gal (T)

Heart Failure Unit, Cardiology Department, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

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