Stefenelli T
Kardiologischen Universitätsklinik Wien.
Acta Med Austriaca. 1991;18(4):81-5.
The discussion about the importance of inotropic agents in the treatment of congestive heart failure is still open. A review of studies concerning the effects of digitalis, adrenoceptor stimulating or blocking agents, as well as phosphodiesterase inhibitors on hemodynamics and the physical state of heart failure patients is presented. Most authors agree that digitalis is indicated in patients with impaired left ventricular function and supraventricular arrhythmias, as well as in patients with heart failure who remain symptomatic during treatment with diuretics and vasodilators. While adrenoceptor stimulation with catecholamines is widely accepted in patients with acute and severe heart failure, beta-receptor blockers seem to have beneficial effects on some patients with mild to moderate congestive heart failure.
关于强心药物在治疗充血性心力衰竭中的重要性的讨论仍在继续。本文综述了关于洋地黄、肾上腺素能受体激动剂或阻滞剂以及磷酸二酯酶抑制剂对心力衰竭患者血流动力学和身体状况影响的研究。大多数作者认为，洋地黄适用于左心室功能受损和室上性心律失常的患者，以及在用利尿剂和血管扩张剂治疗期间仍有症状的心力衰竭患者。虽然儿茶酚胺对肾上腺素能受体的刺激在急性和严重心力衰竭患者中被广泛接受，但β受体阻滞剂似乎对一些轻度至中度充血性心力衰竭患者有有益作用。
