Comparative effects of volume loading, dobutamine, and nitroprusside in patients with predominant right ventricular infarction.

  title={Comparative effects of volume loading, dobutamine, and nitroprusside in patients with predominant right ventricular infarction.},
  author={Louis J. Dell’Italia and Mark R. Starling and Ralph Blumhardt and John C. Lasher and Robert A. O'rourke},
  volume={72 6},
To assess the value of volume loading and to determine the relative efficacy of dobutamine compared with nitroprusside therapy in acute right ventricular infarction (RVMI), 13 patients with clinical, hemodynamic, and radionuclide angiographic evidence of RVMI were evaluated. In 10 patients who had an initial pulmonary arterial wedge pressure less than 18 mm Hg, volume loading did not improve cardiac index (1.9 +/- 0.5 [SD] to 2.1 +/- 0.4 liters/min/m2), despite significant increases in mean… 

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