Document Detail

Circulatory support with shock due to acute myocardial infarction.
MedLine Citation:
PMID:  8417692     Owner:  NLM     Status:  MEDLINE    
Cardiogenic shock after acute myocardial infarction develops according to the amount of lost myocardium, function of remote myocardium, and the phenomenon of infarct expansion. Patients treated with mechanical support alone, without additional measures, have a mortality rate of 80%, the same as patients treated medically. Emergency angioplasty and emergency coronary artery bypass grafting can reduce mortality in certain subsets of patients to 40%. Patients with more severe shock and secondary organ dysfunction may be treated with mechanical bridging to transplantation with survival rates varying between 45% and 76%. Percutaneous support systems may be used to resuscitate a patient or to temporize, allowing time to perform diagnostic studies to determine if the patient is suitable for revascularization or heart transplantation. Intravenous enoximone may improve cardiac function as well and thus allow better decision making for further therapy.
A Moritz; E Wolner
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  55     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-01-26     Completed Date:  1993-01-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  238-44     Citation Subset:  AIM; IM    
Second Surgical Department, University of Vienna, Austria.
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MeSH Terms
Follow-Up Studies
Heart Failure / mortality,  physiopathology,  therapy*
Heart Transplantation / physiology
Heart-Assist Devices*
Hemodynamics / physiology
Middle Aged
Myocardial Infarction / mortality,  physiopathology,  therapy*
Shock, Cardiogenic / mortality,  physiopathology,  therapy*
Survival Rate

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