Levosimendan increases calcium sensitivity to myocytes by binding to troponin C in a calcium dependent manner. This increases contractility without raising calcium levels. It also relaxes vascular smooth muscle by opening adenosine triphosphate sensitive potassium channels. Levosimendan is used to manage acutely decompensated congestive heart failure.
For short term treatment of acutely decompensated severe chronic heart failure (CHF). Also being investigated for use/treatment in heart disease.
Cardiothoracic Academy, Ain Shams University Hospitals, Cairo, Egypt
Shengjing Hospital, Shenyang, Liaoning, China
Tongji Hospital, Wuhan, Hubei, China
Hôpital du Haut-Lévêque, Pessac, Bordeaux, France
Hôpital Pitié Salpêtrière, Paris, France
Hôpital Européen Georges Pompidou, Paris, France
Onassis Cardiac Surgery Center, Athens, Greece
University Hospital of Lord's Transfiguration, Poznań, Poland
Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego, Warszawa, Poland
Medical University of Bialystok Clinical Hospital, Bialystok, Poland
Onassis Cardiac Surgery Center, Athens, Greece
Jianhui Wang, Beijing, Beijing, China
Sara ABD El-Salam, Cairo, Egypt
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