[Non-digitalis inotropic agents in the treatment of congestive heart insufficiency].

The action mechanisms of the inotropic agents are reviewed: adrenergic stimulants, dopaminergic agents, phosphodiesterase inhibitors direct adenylcyclase stimulants. The hemodynamic effects of these drugs are compared. According with the items proposed by Braunwald e Colucci the inotropic agents are classified. The therapeutic effect is concluded from the published randomized trials placebo. The value of these drugs on the therapy of Congestive Heart Failure is discussed.