Successful treatment of hypotension associated with stunned myocardium with oral Midodrine therapy
Successful treatment of hypotension associated with stunned myocardium with oral Midodrine therapy
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DOI：
10.1177/107424840501000109
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发表时间：
2005-03-01
影响因子：
2.6
通讯作者：
Bhambi, B
中科院分区：
文献类型：
--
作者：
Sharma, S;Bhambi, B
心肌顿抑是缺血性损伤后心肌收缩功能的可逆性降低，常导致低血压，需要静脉注射正性肌力药物治疗。我们使用口服药物米多君治疗低血压并发心肌顿抑后，成功的血管重建与经皮冠状动脉介入治疗心肌梗死和缺血的设置。口服米多君可作为静脉正性肌力药物的有效替代，并可缩短重症监护室的时间和住院时间。
Myocardial stunning, a reversible decrease in the contractile function of the myocardium after an ischemic insult, often leads to hypotension that requires therapy with intravenous inotropes. We used the oral agent midodrine to treat hypotension that complicated myocardial stunning after successful revascularization with percutaneous coronary intervention in the setting of myocardial infarction and ischemia. Oral midodrine may offer a useful substitute to intravenous inotropic therapy and can shorten the duration of intensive care unit and hospital stay in this setting.