Document Detail

Acute severe cardiac failure complicating myocardial infarction. Experience with 100 patients referred for consideration of mechanical left ventricular assistance.
MedLine Citation:
PMID:  1078977     Owner:  NLM     Status:  MEDLINE    
One hundred patients were referred with suspected acute cardiac failure following acute myocardial infarction. The diagnosis was confirmed in 72: 31 of these patients underwent elective medical treatment, with 2 survivors (6%); 41 were accepted for counter pulsation, but 9 died before this could be initiated and another 2 died shortly after vain attempts to pass the balloon catheter were abandoned; 30 patients underwent counterpulsation with 14 hospital survivors (47%). Survivor status was usually good. Results of counter pulsation were better in patients who were not shocked (with 5/5 survivors) than in those who were in shock (with 9 of 25 survivors). Results support the view that counterpulsation (alone or combined with corrective surgery) may play an important role in the complications of myocardial infarction provided intervention is early.
M F O'Rourke; V P Chang; H M Windsor; M X Shanahan; J B Hickie; J J Morgan; J F Gunning; A W Seldon; G V Hall; G Michell; D Goldfarb; D G Harrision
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  37     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1975 Feb 
Date Detail:
Created Date:  1975-07-07     Completed Date:  1975-07-07     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  169-81     Citation Subset:  AIM; IM    
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MeSH Terms
Acute Disease
Assisted Circulation*
Coronary Artery Bypass
Heart Failure / etiology*,  mortality,  therapy
Middle Aged
Myocardial Infarction / complications*,  mortality,  surgery
Shock, Cardiogenic / complications,  therapy

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