The use of dopamin in shock and heart failure
Aroński, A.; Kübler, A.; Sliwinski, M.; Paszkowska, A.
Der Anaesthesist 27(4): 183-186
1978
ISSN/ISBN: 0003-2417 PMID: 655365 Document Number: 124379
The action of dopamine was evaluated in 18 patients with cardiogenic shock after myocardial infarction, in 14 patients with heart failure and in 18 patients with low-output syndrome after cardiac surgery. In the patients with shock, dopamine increased significantly systolic arterial blood pressure, myocardial contractility, diuresis and sodium excretion. In patients with heart failure a great increase in diuresis and sodium excretion with decrease of CVP was observed. In patients after cardiac surgery dopamine produced a significant increase of arterial blood pressure and diuresis with decrease of CVP. The clinical application of dopamine and the advantages of the use of dopamine combined with other catecholamines were discussed.