Table 1

Haemodynamic effects of levosimendan

VariablePreischaemia (18 min after infusion)Ischaemia (25 min)Reperfusion (10 min)
PlaceboLevosimendanPlaceboLevosimendanPlaceboLevosimendan
Cardiac output (l/min)2.1 (0.3)2.5 (0.2)1-150 2.0 (0.2)2.6 (0.5)1-150 2.0 (0.1)2.6 (0.4)1-150
Heart rate (beats/min)80 (8)93 (23)92 (10)104 (21)96 (20)112 (17)
Stroke volume (ml)28.3 (0.3)30.0 (0.25)21.0 (3.3)30.4 (1.5)1-151 21.5 (4.8)23.3 (4.4)
Systemic vascular resistance (dyne.s−1.cm−5)2808 (209)2293 (348)1-150 2669 (424)2024 (188)1-151 2685 (66)2274 (293)
Mean arterial pressure (mm Hg)70 (8)69 (7)66 (7)62 (9)68 (7)68 (11)
LVmaxdP/dt (pos) (mm Hg/s)817 (129)972 (116)1-151 806 (151)925 (91)1-152 784 (130)956 (118)1-150
LVmaxdP/dt (neg) (mm Hg/s)1148 (240)1198 (254)1022 (162)945 (92)1110 (182)956 (282)
LV peak systolic pressure (mm Hg)76 (11)75 (6)69 (7)71 (7)74 (10)74 (14)
Rate–pressure product (mm Hg/min/kg)302 (22)317 (28)300 (18)338 (37)303 (15)345 (19)
  • Values are mean (SD).

  • 1-150 p < 0.05,

  • 1-151 p < 0.005 v placebo;

  • 1-152 p = 0.0937 v placebo.

  • LV, left ventricular; LVmaxdP/dt (neg), maximum rate of relaxation of the left ventricle; LVmaxdP/dt (pos), maximum rate of contraction of the left ventricle.