PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
January 4, 1979New England Journal of Medicine345 citations

Dobutamine: A New Synthetic Cardioactive Sympathetic Amine

View Full Paper
JKJan Koch‐WeserESEdmund H. SonnenblickWFWilliam H. Frishman

Key Result

Dobutamine increases myocardial contractility without inducing marked tachycardia or greatly changing peripheral arterial resistance, making it useful for treating acute cardiac failure.

Structured PICO

P
Population
Patients with acute cardiac failure characterized by low cardiac output and elevated diastolic filling pressures
I
Intervention
Dobutamine (intravenous)

Dobutamine is introduced as a synthetic intravenously administered catecholamine that increases myocardial contractility without marked tachycardia, useful for treating acute cardiac failure.

Abstract

Dobutamine* is a new, synthetic, intravenously administered catecholamine that acts directly to increase myocardial contractility without inducing marked tachycardia or greatly changing peripheral arterial resistance.1 These features make it useful for treating acute cardiac failure characterized by low cardiac output and elevated diastolic filling pressures, and in July, 1978, it was approved for clinical use in this country.Norepinephrine is the endogenous catecholamine that is synthesized and stored in granules in adrenergic nerve endings in the myocardium. When sympathetic nerves to the heart are activated, norepinephrine is released from its stores and stimulates specific sites on the myocardial cell surface, . . .

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Koch‐Weser et al. (1979) conducted a review in acute cardiac failure. Dobutamine was evaluated. Dobutamine increases myocardial contractility without inducing marked tachycardia or greatly changing peripheral arterial resistance, making it useful for treating acute cardiac failure.

synapsesocial.com/papers/6a07e279416812afca06e572https://doi.org/10.1056/nejm197901043000105
Ask AI
Helpful
Bookmark
Share
View Full Paper