Use of heptaminol hydrochloride for catecholamine weaning in septic shock. 2012

Mabrouk Bahloul, and Anis Chaari, and Mohamed Nouri Ben Mbarek, and Hatem Kallel, and Mounir Bouaziz
Department of Intensive Care, Habib Bourguiba University Hospital, Sfax, Tunisia.

We analyze in the current study the impact of heptaminol hydrochloride (Heptamyl) administration in patients with septic shock requiring adrenergic support on the duration of vasopressor infusion and on catecholamine delay weaning. In this prospective study were included 49 nonconsecutive patients with septic shock requiring vasopressor infusion and with stable hemodynamic parameters during more than 24 hours. All these patients were included in a random way to receive or not heptaminol hydrochloride. The primary end point was the effect of heptaminol hydrochloride administration on duration of weaning, defined as cessation of vasopressor support. There were 32 males (65%) and 17 females (35%). The mean age (± standard deviation) was 53.9 ± 22.2 years. Norepinephrine was the most commonly used vasopressor agent (73.4%). The comparison between two groups (with and without heptaminol hydrochloride) showed that two groups had the same epidemiologic, clinical, and biologic findings on intensive care unit admission. In our study, we found that the introduction of Heptamyl was associated with a quick decrease of dose of dopamine and norepinephrine in comparison with the Heptamyl-free group. By comparing the two groups, we found that the delay of catecholamine weaning was significantly faster for the dopamine (P = 0.008) and noradrenalin (P = 0.001) in the Heptamyl group. Finally, the intensive care unit mortality rate and the hospital mortality rate were significantly lower in the Heptamyl group. Our study shows a reduction in norepinephrine and dopamine weaning duration in septic patients enrolled in the heptaminol hydrochloride group.

UI MeSH Term Description Entries
D007362 Intensive Care Units Hospital units providing continuous surveillance and care to acutely ill patients. ICU Intensive Care Units,Intensive Care Unit,Unit, Intensive Care
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009638 Norepinephrine Precursor of epinephrine that is secreted by the ADRENAL MEDULLA and is a widespread central and autonomic neurotransmitter. Norepinephrine is the principal transmitter of most postganglionic sympathetic fibers, and of the diffuse projection system in the brain that arises from the LOCUS CERULEUS. It is also found in plants and is used pharmacologically as a sympathomimetic. Levarterenol,Levonorepinephrine,Noradrenaline,Arterenol,Levonor,Levophed,Levophed Bitartrate,Noradrenaline Bitartrate,Noradrénaline tartrate renaudin,Norepinephrin d-Tartrate (1:1),Norepinephrine Bitartrate,Norepinephrine Hydrochloride,Norepinephrine Hydrochloride, (+)-Isomer,Norepinephrine Hydrochloride, (+,-)-Isomer,Norepinephrine d-Tartrate (1:1),Norepinephrine l-Tartrate (1:1),Norepinephrine l-Tartrate (1:1), (+,-)-Isomer,Norepinephrine l-Tartrate (1:1), Monohydrate,Norepinephrine l-Tartrate (1:1), Monohydrate, (+)-Isomer,Norepinephrine l-Tartrate (1:2),Norepinephrine l-Tartrate, (+)-Isomer,Norepinephrine, (+)-Isomer,Norepinephrine, (+,-)-Isomer
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D004298 Dopamine One of the catecholamine NEUROTRANSMITTERS in the brain. It is derived from TYROSINE and is the precursor to NOREPINEPHRINE and EPINEPHRINE. Dopamine is a major transmitter in the extrapyramidal system of the brain, and important in regulating movement. A family of receptors (RECEPTORS, DOPAMINE) mediate its action. Hydroxytyramine,3,4-Dihydroxyphenethylamine,4-(2-Aminoethyl)-1,2-benzenediol,Dopamine Hydrochloride,Intropin,3,4 Dihydroxyphenethylamine,Hydrochloride, Dopamine
D005260 Female Females
D006535 Heptaminol An amino alcohol that has been used as a myocardial stimulant and vasodilator and to relieve bronchospasm. Its most common therapeutic use is in orthostatic hypotension. The mechanism of heptaminol's therapeutic actions is not well understood although it has been suggested to affect catecholamine release or calcium metabolism. Cardiomax,Heptaminol Hydrochloride
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

Mabrouk Bahloul, and Anis Chaari, and Mohamed Nouri Ben Mbarek, and Hatem Kallel, and Mounir Bouaziz
April 1967, Die Medizinische Welt,
Mabrouk Bahloul, and Anis Chaari, and Mohamed Nouri Ben Mbarek, and Hatem Kallel, and Mounir Bouaziz
October 1989, Critical care medicine,
Mabrouk Bahloul, and Anis Chaari, and Mohamed Nouri Ben Mbarek, and Hatem Kallel, and Mounir Bouaziz
March 1996, Chest,
Mabrouk Bahloul, and Anis Chaari, and Mohamed Nouri Ben Mbarek, and Hatem Kallel, and Mounir Bouaziz
March 2004, Intensive care medicine,
Mabrouk Bahloul, and Anis Chaari, and Mohamed Nouri Ben Mbarek, and Hatem Kallel, and Mounir Bouaziz
January 1961, Therapie,
Mabrouk Bahloul, and Anis Chaari, and Mohamed Nouri Ben Mbarek, and Hatem Kallel, and Mounir Bouaziz
January 1959, Le Progres medical,
Mabrouk Bahloul, and Anis Chaari, and Mohamed Nouri Ben Mbarek, and Hatem Kallel, and Mounir Bouaziz
January 1998, Irish medical journal,
Mabrouk Bahloul, and Anis Chaari, and Mohamed Nouri Ben Mbarek, and Hatem Kallel, and Mounir Bouaziz
September 2014, Critical care nursing clinics of North America,
Mabrouk Bahloul, and Anis Chaari, and Mohamed Nouri Ben Mbarek, and Hatem Kallel, and Mounir Bouaziz
October 2004, Shock (Augusta, Ga.),
Mabrouk Bahloul, and Anis Chaari, and Mohamed Nouri Ben Mbarek, and Hatem Kallel, and Mounir Bouaziz
January 1962, Comptes rendus des seances de la Societe de biologie et de ses filiales,
Copied contents to your clipboard!