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  • A term newborn with a hypocontractile myocardium complicating persistent pulmonary hypertension of the newborn was successfully treated with a low-dose phosphodiesterase III inhibitor milrinone. Echocardiography diagnosed heart failure with a left ventricular ejection fraction of 35% and a left ventricular shortening fraction of 18% and severe persistent pulmonary hypertension of the newborn with oxygenation index of 28. Milrinone was started at an initial dose of 50 mcg/kg, followed by continuous infusion of 0.20 mcg/kg/min. With lowdose milrinone oxygenation index decreased to 3 within 6 hours, left ventricular ejection fraction and left ventricular shortening fraction increased to 57%, and 30%, respectively. Low doses of milrinone might be promising in the treatment of heart failure and persistent pulmonary hypertension of the newborn in term newborns.
  • A term newborn with a hypocontractile myocardium complicating persistent pulmonary hypertension of the newborn was successfully treated with a low-dose phosphodiesterase III inhibitor milrinone. Echocardiography diagnosed heart failure with a left ventricular ejection fraction of 35% and a left ventricular shortening fraction of 18% and severe persistent pulmonary hypertension of the newborn with oxygenation index of 28. Milrinone was started at an initial dose of 50 mcg/kg, followed by continuous infusion of 0.20 mcg/kg/min. With lowdose milrinone oxygenation index decreased to 3 within 6 hours, left ventricular ejection fraction and left ventricular shortening fraction increased to 57%, and 30%, respectively. Low doses of milrinone might be promising in the treatment of heart failure and persistent pulmonary hypertension of the newborn in term newborns. (en)
Title
  • Heart failure treated with low-dose milrinone in a full-term newborn
  • Heart failure treated with low-dose milrinone in a full-term newborn (en)
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  • Heart failure treated with low-dose milrinone in a full-term newborn
  • Heart failure treated with low-dose milrinone in a full-term newborn (en)
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  • RIV/00064190:_____/12:#0000359!RIV13-MZ0-00064190
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, V
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  • 1
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  • 138722
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  • RIV/00064190:_____/12:#0000359
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  • cardiotonic; heart failure; people; newborn; syndrome of persistent fetal circulation; vasodilators; milrinone (en)
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  • CZ - Česká republika
http://linked.open...ontrolniKodProRIV
  • [1B5F08D9E3A6]
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  • Prague medical report
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http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 113
http://linked.open...iv/tvurceVysledku
  • Janota, Jan
  • Tomek, Jiří
  • Zemanová, Patricia
  • Šebková, Sylva
issn
  • 1214-6994
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