The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
ISSN-L : 0386-9776
AMRINONE ALONE AND COMBINED USE OF AMRINONE WITH DOBUTAMINE IMMEDIATELY AFTER CARDIOVASCULAR SURGERY
A COMPARATIVE STUDY
Yoshihiro NAKAMURAYukinori MORIYAMAHitoshi TOYOHIRAAkihiro YAMAOKAHideaki SAIGENJIShinji SHIMOKAWAShunichi WATANABEAkira TAIRA
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1996 Volume 57 Issue 2 Pages 277-280

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Abstract

Each six patients undergoing cardiovascular surgery at the department from November 1993 to June 1994 were assigned to a group received dobutamine alone or another group received dobutamine and amrinone combinedly in an early postoperative period for the purpose of circulatory support. In this study the both groups were compared for hemodynamic response.
There was no significant difference in hemodynamic responses between two groups. Amrinone, known as phosphodiesterase III inhibitor, augment the cardiac function without inclement of O2 consumption of the myocardium.
The combined use of amrinone and dobutamine which have different mechanisms of action each other can be one of choices for treatment immediately after cardiovascular surgery that exerts a synergistic effect to increase the cardiac function and to decrease the dose of catecholamine.

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