Initiation of Sacubitril Valsartan in an Inotrope Dependent Patient

A 41-year-old man, with a history ACC/AHA stage C heart failure with reduced ejection fraction secondary to idiopathic dilated cardiomyopathy, presented at the HF clinic for follow-up visits, status post hospitalization due to acute decompensated heart failure in March 2019. After the initiation of milrinone during the hospitalization, two attempts to wean off milrinone were made but failed due to malperfusion and symptomatic hypotension with significant drops of the cardiac index to 1.3 L/min/m2 and 1.76 L/min/m2, respectively.
Source: Journal of Cardiac Failure - Category: Cardiology Authors: Tags: 439 Source Type: research