Heart Failure
Conditions
Keywords
heart failure, levosimendan, cardiac surgery
Brief summary
Prospective, randomized, double blind study investigating the efficacy of levosimendan in heart failure after cardiac surgery. Study hypothesis: Levosimendan diminishes the need for adrenergic inotropic drugs and morbidity and may improve survival after heart valve surgery.
Detailed description
200 patients are prospectively randomized in a double blind study investigating the efficacy of levosimendan in heart failure after cardiac surgery. Levosimendan/placebo is administered as 24 hour continuous infusion beginning after anesthesia induction. Primary endpoint being adrenergic inotrope need after cardiopulmonary bypass and secondary endpoints hospital and 6-month mortality and major organ failure.
Interventions
Intravenous infusion, blus 24 mcg/kg in 30-minutes followed by 0.2 mcg/kg/min up to 24 hours
Placebo
Sponsors
Study design
Eligibility
Inclusion criteria
Eligible for cardiac valve or combined CABG and cardiac valve surgery: * Clinical signs of cardiac insufficiency
Exclusion criteria
* Endocarditis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Heart failure necessitating inotropic drug administering after heart valve surgery | Postoperative hospital period |
Secondary
| Measure | Time frame |
|---|---|
| Hospital morbidity and mortality | Postoperative hospital period |
| Postoperative mortality at six months | Six months postoperatively |
Countries
Finland