Loop diuretics – can be useful to achieve euvolemic state but must be used judiciously
in patients who may need elevated filling pressures. Patients must not be overdiuresed
as this may complicate renal function.
Catecholamines
Positive inotrope agents
Milninone
Dobutamine
Vasodilators – May be considered to improve cardiac output. Reserve inotropes for
patients with hypertension.
B naturetic factor is a protein secreted by the ventricles. It inhibits the renal angiotensin
aldosterone (RAAS) system and promotes vasodilation, natreusis and diuresis.
Levosimendan is a calcium sensitizer and prolongs the bridging time of action and
myosin by stabilizing the troponin – calcium interaction.
Theoretically, the end point of therapy is to achieve a great stroke volume for the same
or lower preload.
CARDIOPULMONARY RESUSCITATION