Current real-life use of vasopressors and inotropes in cardiogenic shock - adrenaline use is associated with excess organ injury and mortality.
Tuukka TarvasmäkiJohan LassusMarjut VarpulaAlessandro SionisReijo SundLars KøberJindrich SpinarJohn ParissisMarek BanaszewskiJose Silva CardosoValentina CarubelliSalvatore Di SommaAlexandre MebazaaVeli-Pekka Harjolanull nullPublished in: Critical care (London, England) (2016)
Among vasopressors and inotropes, adrenaline was independently associated with 90-day mortality in CS. Moreover, adrenaline use was associated with marked worsening in cardiac and renal biomarkers. The combined use of noradrenaline with either dobutamine or levosimendan appeared prognostically similar.