Inotropic Stimulation and Myocardial Energetics (Paperback)
  • Inotropic Stimulation and Myocardial Energetics (Paperback)
zoom

Inotropic Stimulation and Myocardial Energetics (Paperback)

(author), (author), (author)
£76.50
Paperback 273 Pages / Published: 28/12/2012
  • We can order this

Usually dispatched within 3 weeks

  • This item has been added to your basket
Inotropic stimulation of the myocardium, as well as vasodilation and diuresis as essential principles in the treatment of congestive heart failure have recently met with considerable criticism and reevaluation. It is generally agreed that unloading of the heart, either through vasodilation and/or diuresis, improves the working conditions of the dilated, failing heart. It reduces myocar- dial oxygen consumption through reduction of chamber radius and, thereby, wall tension as the major determinants of myocardial oxygen consumption. Inotropic stimulation, quite in contrast, does not conserve oxygen. It rather consumes energy and that may be disadvantageous in situations of compromised oxygen supply and energy metabolism of the working myocardium. However, under conditions of suf- ficient oxygen supply and metabolic support inotropic stimulation may bring about in- creased pumping and subsequent improvement of myocardial failure. In recent years it could convincingly be demonstrated that vasodilation leads to symp- tomatic improvement of congestive heart failure, improvement of exercise tolerance, and it prolongs life - especially in the case of ACE-inhibitors and the combination of hydra- lazine with long-acting nitrates. Quite in contrast, equally beneficial effects could not be demonstrated for inotropic agents in congestive heart failure. Only for the cardiac glyco- sides has it been shown that beneficial effects can be achieved, especially if atrial fibril- lation with absolute arrhythmia is present. The influence of the cardiac glycosides on the latter represents an effect which is independent of the inotropic action.

Publisher: Steinkopff Darmstadt
ISBN: 9783662079102
Number of pages: 273
Weight: 494 g
Dimensions: 244 x 170 x 15 mm
Edition: Softcover reprint of the original 1st ed. 198

You may also be interested in...

Oxford Handbook of Cardiac Nursing
Added to basket
The ECG Workbook
Added to basket
£28.00
Paperback
Park's The Pediatric Cardiology Handbook
Added to basket
ECG Facts Made Incredibly Quick!
Added to basket
Making Sense of the ECG
Added to basket
The ECG In Practice
Added to basket
£27.99
Paperback
Blood Chemistry and CBC Analysis
Added to basket
Bennett's Cardiac Arrhythmias
Added to basket
ECG Pocketcard
Added to basket
Bbp
£2.49
Cards
Heart Disease
Added to basket
£9.99
Paperback
DASH Diet For Dummies
Added to basket
ECGs for the Emergency Physician 1
Added to basket
The HeartMath Solution
Added to basket
The Dash Diet Action Plan
Added to basket

Reviews

Please sign in to write a review

Your review has been submitted successfully.