Document Detail

Counterpulsation and dobutamine. Their use in treatment of cardiogenic shock due to right ventricular infarct.
MedLine Citation:
PMID:  7458522     Owner:  NLM     Status:  MEDLINE    
A patient had right ventricular infarction complicated by cardiogenic shock. Volume expansion along with high doses of dopamine hydrochloride successfully alleviated hypotension in this patient. However, he had persistent mental obtundation and low cardiac output, and adverse chronotropic responses to high doses of dopamine developed. Counterpulsation effectively maintained an adequate arterial pressure and dopamine therapy was discontinued. Counterpulsation, however, failed to augment cardiac output. Simultaneous use of dobutamine hydrochloride along with counterpulsation was associated with a noticeable increase in cardiac output. To our knowledge, this is the first reported case of right ventricular infarct complicated by shock in which the simultaneous use of counterpulsation and dobutamine therapy resulted in a substantial increase in cardiac output.
M Z Iqbal; P R Liebson
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  141     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1981 Feb 
Date Detail:
Created Date:  1981-03-27     Completed Date:  1981-03-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  247-9     Citation Subset:  AIM; IM    
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MeSH Terms
Assisted Circulation*
Blood Pressure
Cardiac Output, Low / complications,  therapy
Catecholamines / therapeutic use*
Dobutamine / therapeutic use*
Heart / radionuclide imaging
Intra-Aortic Balloon Pumping*
Middle Aged
Myocardial Infarction / complications,  therapy*
Shock, Cardiogenic / complications,  therapy*
Reg. No./Substance:
0/Catecholamines; 34368-04-2/Dobutamine

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

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