Document Detail


Effect of prolonged intra-aortic balloon pumping in patients with cardiogenic shock following acute myocardial infarction.
MedLine Citation:
PMID:  17534233     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To evaluate the efficacy of prolonged intra-aortic balloon pumping (IABP) support in patients with cardiogenic shock following acute myocardial infarction (AMI). MATERIAL/METHODS: Thirty-nine patients with cardiogenic shock after AMI were treated with percutaneous coronary intervention which was supported by IABP. After 72 hours of IABP, the patients who attained the criteria of IABP withdrawal were randomly divided into two groups. The control group ceased IABP whereas the study group continued IABP for additional seven days. RESULTS: After IABP, mean arterial pressure, cardiac index, left ventricle ejection fraction and arterial oxygen saturation were significantly elevated in all patients whereas pulmonary capillary wedge pressure and heart rate were decreased. The improvement of cardiac index, left ventricular ejection fraction and pulmonary capillary wedge pressure in the study group was greater than the control group (P<0.05). After 12-month follow-up, the 6-min walking test and left ventricular ejection fraction in the study group were significantly higher than those of the control group (P<0.05). No significant differences were noted between the two groups in the incidence ventricular aneurysm and mortality rate. CONCLUSIONS: Prolonged use of IABP for up to 10 days offers additional long term benefit in left ventricular function and exercise tolerance.
Authors:
Jin-long Li; Hong Xue; Bo-song Wang; Huan-Yi Zhang; Lu-Hua Yin; Wei-dong Shun; Yun Wu; Le-xin Wang
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medical science monitor : international medical journal of experimental and clinical research     Volume:  13     ISSN:  1234-1010     ISO Abbreviation:  Med. Sci. Monit.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-30     Completed Date:  2007-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609063     Medline TA:  Med Sci Monit     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  CR270-74     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Taian Center Hospital Shandong 271000, PR China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Pressure
Case-Control Studies
Female
Follow-Up Studies
Heart Function Tests
Humans
Intra-Aortic Balloon Pumping / methods*
Male
Middle Aged
Myocardial Infarction / complications*,  physiopathology,  therapy*
Shock, Cardiogenic / etiology*,  physiopathology,  therapy*
Time Factors
Ventricular Function, Left

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


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