[Use of dopamine in acute cardiovascular distress. Its place in comparison to isoproterenol].
Nineteen patients presenting cardiovascular distress were treated with dopamine. For seventeen of these, the accident occurred immediately after cardiac surgery. Dosages varied from 1 to 15 mug/kg/min and the duration of treatment from 10 minutes to three days. The efficacy of the treatment was judged according to the clinical and hemodynamic improvement of the cardio-circulatory function and the increase in urinary output. There were 15 favourable results. The positive effects of the dopamine seem to be limited in certain patients by the appearance of a cyanosis testifying to a rise in vascular resistances which increases the left auricular pressure and limits the inotropic effect. In these cases, isoproterenol or a combination of both isoproterenol and dopamine gives better results.
D000293:Adolescent; D000328:Adult; D004298:Dopamine / Q000627:therapeutic use*; D004357:Drug Synergism; D005260:Female; D006350:Heart Valve Prosthesis; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D007545:Isoproterenol / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D012772:Shock, Septic / Q000188:drug therapy; D014511:Uremia / Q000188:drug therapy
D007545:Isoproterenol; D004298:Dopamine
Utilisation de la dopamine dans les états de détresses cardio-circulatoires aiguës sa place par rapport a l'isoprotérénol