Page last updated: 2024-10-31

milrinone and Coronary Heart Disease

milrinone has been researched along with Coronary Heart Disease in 19 studies

Research Excerpts

ExcerptRelevanceReference
"Milrinone and dobutamine are positive inotropic agents with beneficial hemodynamic effects in patients with congestive heart failure."9.06Comparison of intravenous milrinone and dobutamine for congestive heart failure secondary to either ischemic or dilated cardiomyopathy. ( Benotti, JR; Biddle, TL; Creager, MA; Faxon, DP; Firth, BG; Fitzpatrick, PG; Kershner, RP; Konstam, MA; Krebs, C; Walton, L, 1987)
"The effects of MCI-154, a cardiotonic agent with Ca++ sensitizing actions, on the ischemic contractile failure and myocardial acidosis were studied in the dog heart, in which the left anterior descending coronary artery (LAD) was partially occluded for 90 min, and compared with those of dobutamine, milrinone, pimobendan and isosorbide dinitrate (ISDN)."7.68Beneficial effect of MCI-154, a cardiotonic agent, on ischemic contractile failure and myocardial acidosis of dog hearts: comparison with dobutamine, milrinone and pimobendan. ( Abe, Y; Kitada, Y; Narimatsu, A, 1992)
"Hemodynamics during 24-h dobutamine (dob) and subsequent 24-h milrinone (mil) infusion were studied in 20 patients (pts) with severe heart failure (NYHA III: 4 pts, NYHA IV: 16 pts)."7.68[Hemodynamics with dobutamine and milrinone in patients with severe heart failure in an intra-individual comparison]. ( Hilger, HH; Höpp, HW; Klocke, RK; Kux, A; Mager, G; Volkmann, A, 1991)
"To determine whether oral milrinone therapy has an effect on complex ventricular arrhythmias in patients with severe congestive heart failure and, if so, whether a change in the severity of complex ventricular arrhythmias after 1 week of milrinone therapy is associated with a change in the mode or frequency of cardiac mortality, a retrospective analysis was performed to determine the frequency of ventricular tachycardia and the density of ventricular couplets on 24-hour ambulatory electrocardiographic recordings performed before and 1 week after initiation of oral milrinone therapy in 74 consecutive patients with New York Heart Association functional class III or IV congestive heart failure."7.67Effects of milrinone on complex ventricular arrhythmias in congestive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy. ( Antman, EM; Baim, DS; Colucci, WS; Friedman, PL; Gauthier, DF; Ludmer, PL; Rocco, MB, 1987)
"Milrinone use is an independent risk factor for postoperative AF after elective cardiac surgery."6.73Milrinone use is associated with postoperative atrial fibrillation after cardiac surgery. ( Ball, SK; Brown, NJ; Byrne, JG; Fleming, GA; Greelish, JP; Hoff, SJ; Murray, KT; Petracek, MR; Pretorius, M; Yu, C, 2008)
"Milrinone and dobutamine are positive inotropic agents with beneficial hemodynamic effects in patients with congestive heart failure."5.06Comparison of intravenous milrinone and dobutamine for congestive heart failure secondary to either ischemic or dilated cardiomyopathy. ( Benotti, JR; Biddle, TL; Creager, MA; Faxon, DP; Firth, BG; Fitzpatrick, PG; Kershner, RP; Konstam, MA; Krebs, C; Walton, L, 1987)
"The effects of MCI-154, a cardiotonic agent with Ca++ sensitizing actions, on the ischemic contractile failure and myocardial acidosis were studied in the dog heart, in which the left anterior descending coronary artery (LAD) was partially occluded for 90 min, and compared with those of dobutamine, milrinone, pimobendan and isosorbide dinitrate (ISDN)."3.68Beneficial effect of MCI-154, a cardiotonic agent, on ischemic contractile failure and myocardial acidosis of dog hearts: comparison with dobutamine, milrinone and pimobendan. ( Abe, Y; Kitada, Y; Narimatsu, A, 1992)
"Hemodynamics during 24-h dobutamine (dob) and subsequent 24-h milrinone (mil) infusion were studied in 20 patients (pts) with severe heart failure (NYHA III: 4 pts, NYHA IV: 16 pts)."3.68[Hemodynamics with dobutamine and milrinone in patients with severe heart failure in an intra-individual comparison]. ( Hilger, HH; Höpp, HW; Klocke, RK; Kux, A; Mager, G; Volkmann, A, 1991)
"To determine whether oral milrinone therapy has an effect on complex ventricular arrhythmias in patients with severe congestive heart failure and, if so, whether a change in the severity of complex ventricular arrhythmias after 1 week of milrinone therapy is associated with a change in the mode or frequency of cardiac mortality, a retrospective analysis was performed to determine the frequency of ventricular tachycardia and the density of ventricular couplets on 24-hour ambulatory electrocardiographic recordings performed before and 1 week after initiation of oral milrinone therapy in 74 consecutive patients with New York Heart Association functional class III or IV congestive heart failure."3.67Effects of milrinone on complex ventricular arrhythmias in congestive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy. ( Antman, EM; Baim, DS; Colucci, WS; Friedman, PL; Gauthier, DF; Ludmer, PL; Rocco, MB, 1987)
"Milrinone use is an independent risk factor for postoperative AF after elective cardiac surgery."2.73Milrinone use is associated with postoperative atrial fibrillation after cardiac surgery. ( Ball, SK; Brown, NJ; Byrne, JG; Fleming, GA; Greelish, JP; Hoff, SJ; Murray, KT; Petracek, MR; Pretorius, M; Yu, C, 2008)
"Milrinone was administered intravenously in successive doses of 25, 50, and 75 micrograms/kg."2.66Milrinone in the treatment of chronic cardiac failure: a controlled trial. ( Andrews, V; Janicki, JS; Likoff, MJ; Rocci, ML; Weber, KT; Wilson, H, 1985)
"Milrinone was administered to 9 patients at the time of weaning from cardiopulmonary bypass, at a dosage of 3 to 5 micrograms/kg/min."1.31[The effects of intravenous milrinone for the patient undergoing CABG]. ( Cruz, BP; Komada, T; Maruyama, K; Okuda, M; Onoda, K; Shimono, T; Shimpo, H; Tanaka, K; Tokui, T; Utsunomiya, H; Yada, I; Yasuda, F, 2000)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19906 (31.58)18.7374
1990's8 (42.11)18.2507
2000's5 (26.32)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Fleming, GA1
Murray, KT1
Yu, C1
Byrne, JG1
Greelish, JP1
Petracek, MR1
Hoff, SJ1
Ball, SK1
Brown, NJ1
Pretorius, M1
Möllhoff, T1
Schmidt, C1
Van Aken, H1
Berendes, E1
Buerkle, H1
Marmann, P1
Reinbold, T1
Prenger-Berninghoff, R1
Tjan, TD1
Scheld, HH1
Deng, MC1
Hill, JA1
Hsu, K1
Pauly, DF1
Schofield, R1
Aranda, JM1
Yasuda, F1
Shimono, T1
Cruz, BP1
Komada, T1
Tokui, T1
Onoda, K1
Tanaka, K1
Shimpo, H1
Yada, I1
Okuda, M1
Utsunomiya, H1
Maruyama, K1
Shibata, T1
Suehiro, S1
Sasaki, Y1
Hosono, M1
Nishi, S1
Kinoshita, H1
Böhm, M3
Gierschik, P2
Erdmann, E3
Abe, Y2
Kitada, Y2
Narimatsu, A2
Ross-Ascuitto, NT1
Ascuitto, RJ1
Ramage, D1
McDonough, KH1
Mitrovic, V1
Stöhring, R1
Schlepper, M1
Mager, G2
Steffen, HM1
Klocke, RK2
Wambach, G1
Kux, A2
Degenhardt, S1
Höpp, HW2
Hilger, HH2
Tobe, A1
Volkmann, A1
Jakobs, KH1
Pieske, B1
Schnabel, P1
Ungerer, M1
Diet, F1
Feiler, G1
Kemkes, B1
Kreuzer, E1
Weinhold, C1
Holbrook, M1
Coker, SJ1
Lukas, A1
Ferrier, GR1
Biddle, TL1
Benotti, JR1
Creager, MA1
Faxon, DP1
Firth, BG1
Fitzpatrick, PG1
Konstam, MA1
Krebs, C1
Walton, L1
Kershner, RP1
Ludmer, PL1
Baim, DS1
Antman, EM1
Gauthier, DF1
Rocco, MB1
Friedman, PL1
Colucci, WS1
Likoff, MJ1
Weber, KT1
Andrews, V1
Janicki, JS1
Wilson, H1
Rocci, ML1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
RAAS, Inflammation, and Post-operative AF[NCT00141778]Phase 2/Phase 3455 participants (Actual)Interventional2005-04-30Completed
2- Inhaled Milrinone Prevents the Increase in Pulmonary Artery Pressure After CPB[NCT00819377]Phase 2124 participants (Anticipated)Interventional2009-02-28Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Acute Renal Failure

Percentage of patients with a creatinine concentrations >2.5mg/dl (NCT00141778)
Timeframe: Measured until the time of hospital discharge, from 5.7 to 6.8 days on average, depending on the study group.

Interventionpercentage of patients (Number)
Placebo5.4
Ramipril0.7
Spironolactone0.7

Death

The percentage of patients in each study arm who died. (NCT00141778)
Timeframe: Measured until the time of hospital discharge

Interventionpercentage of patients (Number)
Placebo1.4
Ramipril2.0
Spironolactone0

Hypokalemia

Percentage of patients who had a serum potassium concentrations <3.5 milliequivalents (mEq)/L (NCT00141778)
Timeframe: Measured until the time of hospital discharge, which was an average of 5.7 to 6.8 days depending on the treatment arm.

Interventionpercentage of patients (Number)
Placebo11.6
Ramipril13.8
Spironolactone6.8

Hypotension

Percentage of patients with hypotension defined as a systolic blood pressure <90 mmHg and/or prolonged requirement for vasopressor use. (NCT00141778)
Timeframe: Measured during and after surgery, until discharge, from 5.7 to 6.8 days on average.

Interventionpercentage of patients (Number)
Placebo5.4
Ramipril10.6
Spironolactone10.2

Length of Hospital Stay (Days)

(NCT00141778)
Timeframe: Measured from the day of surgery until the time of hospital discharge

Interventiondays (Mean)
Placebo6.8
Ramipril5.7
Spironolactone5.8

Postoperative Atrial Fibrillation

The primary endpoint of the study was the percentage of patients with electrocardiographically confirmed AF of at least 10 secs duration at any time following the end of surgery until hospital discharge, an average from 5.7 days in the ramipril group to 6.8 days in the placebo group. Patients were monitored continuously on telemetry throughout the postoperative period until discharge. Electrocardiograms were obtained for any rhythm changes detected on telemetry monitoring, and in addition, electrocardiograms were performed preoperatively, at admission to the intensive care unit, and daily starting on postoperative day 1. All electrocardiograms and rhythm strips were reviewed in a blinded fashion by a single cardiac electrophysiologist. (NCT00141778)
Timeframe: Measured from admission to the ICU until discharge from hospital

Interventionpercentage of patients (Number)
Placebo27.2
Ramipril27.8
Spironolactone25.9

Stroke

Percentage of patients in each study group who experience a cerebrovascular event, confirmed by CT. (NCT00141778)
Timeframe: Measured until the time of hospital discharge, from 5.7 to 6.8 days on average depending on the study arm.

Interventionpercentage of patients (Number)
Placebo2.7
Ramipril1.3
Spironolactone2.0

Time to Tracheal Extubation

It is the time in minutes that it took to extubate the patient after surgery. (NCT00141778)
Timeframe: It is the time (in minutes) from admission to the ICU until tracheal extubation

Interventionminutes (Mean)
Placebo1091.3
Ramipril970.1
Spironolactone576.4

Perioperative C-reactive Protein (CRP) Concentrations

C-reactive protein was measured at several time points (see table) over the course of the study. (NCT00141778)
Timeframe: Perioperative period

,,
Interventionug/mL (Mean)
Initiation of surgeryPostoperative day 1Postoperative day 2Postoperative day 3Postoperative day 4
Placebo4.151.4134.8128.394.1
Ramipril4.349.9131.0164.8105.2
Spironolactone3.964.3127.8189.4126.5

Perioperative Interleukin(IL)-6 Concentrations

Interleukin-6 was measured at several time points (see time points in table) over the course of the study (NCT00141778)
Timeframe: Perioperative period

,,
Interventionpg/ml (Mean)
Initiation of surgery30min intraop60min intraopPostopPostoperative day 1Postoperative day 2
Placebo4.712.015.6130.0119.0100.3
Ramipril4.620.528.8202.1171.095.5
Spironolactone6.611.317.4145.7164.9109.6

Perioperative Plasminogen Activator Inhibitor-1 (PAI-1) Concentrations

Plasminogen activator inhibitor-1 (PAI-1) was measured at several time points (see table) over the course of the study. (NCT00141778)
Timeframe: Perioperative period

,,
Interventionng/mL (Mean)
Initiation of surgery30min intraop60min intraopPostopPostoperative day 1Postoperative day 2
Placebo19.619.221.036.455.228.1
Ramipril16.219.722.038.947.925.7
Spironolactone17.317.320.134.048.931.0

Trials

7 trials available for milrinone and Coronary Heart Disease

ArticleYear
Milrinone use is associated with postoperative atrial fibrillation after cardiac surgery.
    Circulation, 2008, Oct-14, Volume: 118, Issue:16

    Topics: Adult; Aged; Atrial Fibrillation; Cardiac Surgical Procedures; Cardiotonic Agents; Coronary Disease;

2008
Myocardial ischaemia in patients with impaired left ventricular function undergoing coronary artery bypass grafting--milrinone versus nifedipin.
    European journal of anaesthesiology, 2002, Volume: 19, Issue:11

    Topics: Aged; Anesthesia, General; Calcium Channel Blockers; Coronary Artery Bypass; Coronary Disease; Creat

2002
Slow induction of milrinone after coronary artery bypass grafting.
    Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2001, Volume: 7, Issue:1

    Topics: Aged; Cardiotonic Agents; Coronary Artery Bypass; Coronary Circulation; Coronary Disease; Female; He

2001
The use of intravenous milrinone in chronic symptomatic ischemic heart disease.
    American heart journal, 1991, Volume: 121, Issue:6 Pt 2

    Topics: Aged; Angina Pectoris; Atrial Natriuretic Factor; Cardiotonic Agents; Coronary Disease; Drug Evaluat

1991
[The effect of hemodynamic changes in 24-hour milrinone infusion on sympathetic activity and the renin-angiotensin-aldosterone system in patients with severe heart failure].
    Zeitschrift fur Kardiologie, 1991, Volume: 80, Issue:4

    Topics: Adult; Cardiomyopathy, Dilated; Cardiotonic Agents; Catecholamines; Coronary Disease; Drug Administr

1991
Comparison of intravenous milrinone and dobutamine for congestive heart failure secondary to either ischemic or dilated cardiomyopathy.
    The American journal of cardiology, 1987, Jun-01, Volume: 59, Issue:15

    Topics: Cardiomyopathy, Dilated; Coronary Disease; Dobutamine; Heart Failure; Hemodynamics; Humans; Infusion

1987
Milrinone in the treatment of chronic cardiac failure: a controlled trial.
    American heart journal, 1985, Volume: 110, Issue:5

    Topics: Administration, Oral; Aged; Atrial Fibrillation; Cardiomyopathy, Dilated; Chronic Disease; Clinical

1985

Other Studies

12 other studies available for milrinone and Coronary Heart Disease

ArticleYear
Sustained use of nesiritide to aid in bridging to heart transplant.
    Clinical cardiology, 2003, Volume: 26, Issue:5

    Topics: Adult; Cardiomyopathy, Dilated; Cardiotonic Agents; Coronary Disease; Diuretics; Dobutamine; Dopamin

2003
[The effects of intravenous milrinone for the patient undergoing CABG].
    Kyobu geka. The Japanese journal of thoracic surgery, 2000, Volume: 53, Issue:2

    Topics: Aged; Cardiotonic Agents; Coronary Artery Bypass; Coronary Disease; Female; Hemodynamics; Humans; In

2000
Quantification of Gi alpha-proteins in the failing and nonfailing human myocardium.
    Basic research in cardiology, 1992, Volume: 87 Suppl 1

    Topics: Amino Acid Sequence; Antibodies; Cardiomyopathy, Dilated; Coronary Disease; GTP-Binding Proteins; He

1992
Beneficial effect of MCI-154, a cardiotonic agent, on ischemic contractile failure and myocardial acidosis of dog hearts: comparison with dobutamine, milrinone and pimobendan.
    The Journal of pharmacology and experimental therapeutics, 1992, Volume: 261, Issue:3

    Topics: Acidosis; Animals; Cardiotonic Agents; Coronary Disease; Dobutamine; Dogs; Female; Hemodynamics; Hyd

1992
The effects of milrinone in the neonatal pig heart.
    Cardiovascular drugs and therapy, 1991, Volume: 5, Issue:6

    Topics: 1-Methyl-3-isobutylxanthine; Animals; Animals, Newborn; Cells, Cultured; Coronary Circulation; Coron

1991
Improvement of postischemic contractile dysfunction of dog heart by MCI-154, a novel cardiotonic agent.
    European journal of pharmacology, 1991, Jan-10, Volume: 192, Issue:2

    Topics: Adenosine Triphosphate; Animals; Calcium; Cardiotonic Agents; Coronary Disease; Dobutamine; Dogs; Fe

1991
[Hemodynamics with dobutamine and milrinone in patients with severe heart failure in an intra-individual comparison].
    Zeitschrift fur Kardiologie, 1991, Volume: 80, Issue:2

    Topics: Adult; Aged; Cardiomyopathy, Dilated; Cardiotonic Agents; Coronary Disease; Dobutamine; Dose-Respons

1991
Increase of Gi alpha in human hearts with dilated but not ischemic cardiomyopathy.
    Circulation, 1990, Volume: 82, Issue:4

    Topics: Adenosine Diphosphate Ribose; Adenylate Cyclase Toxin; Adenylyl Cyclases; Adult; Carbachol; Cardiomy

1990
Subsensitivity of the failing human heart to isoprenaline and milrinone is related to beta-adrenoceptor downregulation.
    Journal of cardiovascular pharmacology, 1988, Volume: 12, Issue:6

    Topics: Aging; Cardiotonic Agents; Coronary Disease; Electric Stimulation; Heart Failure; Humans; In Vitro T

1988
Comparison of the effects of isobutylmethylxanthine and milrinone on ischaemia-induced arrhythmias and platelet aggregation in anaesthetized rabbits.
    British journal of pharmacology, 1989, Volume: 98, Issue:1

    Topics: 1-Methyl-3-isobutylxanthine; Anesthesia; Animals; Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Bloo

1989
Electrophysiological effects of amrinone and milrinone in an isolated canine cardiac tissue model of ischemia and reperfusion.
    The Journal of pharmacology and experimental therapeutics, 1988, Volume: 244, Issue:1

    Topics: Amrinone; Animals; Coronary Disease; Dogs; Electrophysiology; Heart Conduction System; Male; Milrino

1988
Effects of milrinone on complex ventricular arrhythmias in congestive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy.
    The American journal of cardiology, 1987, Jun-01, Volume: 59, Issue:15

    Topics: Adult; Aged; Ambulatory Care; Arrhythmias, Cardiac; Cardiomyopathy, Dilated; Coronary Disease; Elect

1987