Document Detail


Arterial counterpulsation in severe refractory heart failure complicating acute myocardial infarction.
MedLine Citation:
PMID:  311648     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The role of arterial counterpulsation was sought in 100 patients with severe refractory cardiac failure complicating myocardial infarction. Seventy-four were in shock and 26 were not. Average duration of counterpulsation was 7.0 days. Hospital survival was 34 per cent (25/74) in shock (predicted less than 10%) and 65 per cent in patients who were not in shock (predicted less than 50%). Survival at 4 years was 10 +/- 4 per cent in shock and 37 +/- 11 per cent in patients not in shock; functional status was class 1 or 2 in 5 of 9 patients in shock and in 8 of 12 survivors not in shock. Results were best when counterpulsation was started early after onset of symptoms, when ischaemic pain was still present, or when a mechanical defect was corrected surgically. Early coronary artery bypass surgery performed alone in 9 patients did not influence survival or functional status. Complications of counterpulsation occurred in 17 patients in shock and in 2 patients not in shock, all but 6 on the first day; none directly caused death. Counterpulsation is an effective and safe adjunct to medical treatment of complicated infarction provided the intervention is prompt.
Authors:
M F O'Rourke; N Sammel; V P Chang
Related Documents :
8585278 - Heat shock proteins in myocardial stress.
11071798 - Lack of progress in cardiogenic shock: lessons from the gusto trials.
24570508 - Right ventricular free wall intramyocardial hematoma after coronary bypass.
20348028 - Tunnel propagation following defibrillation with icd shocks: hidden postshock activatio...
19881338 - Persistent atrial fibrillation: current approach and controversies.
9732978 - Analytical performance and clinical application of a new rapid bedside assay for the de...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  41     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1979 Mar 
Date Detail:
Created Date:  1979-06-29     Completed Date:  1979-06-29     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  308-16     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Assisted Circulation / mortality*
Coronary Artery Bypass
Female
Heart Diseases / complications,  mortality,  therapy*
Humans
Intra-Aortic Balloon Pumping / adverse effects,  mortality*
Male
Middle Aged
Myocardial Infarction / complications*,  mortality
Shock, Cardiogenic / complications,  mortality,  therapy*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Failure of indomethacin to close persistent ductus arteriosus in infants weighing under 1000 grams.
Next Document:  Uptake of catecholamines by human cardiac muscle in vitro.