Document Detail


Intra-aortic balloon assist for cardiogenic shock and ischemic states at Massachusetts General Hospital.
MedLine Citation:
PMID:  967075     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intra-aortic balloon pumping is used at MGH for the reversal of acute myocardial ischemia in those patients not responding to usual medical means. The survival rate of surgical intervention in patients in cardiogenic shock was significantly increased in patients who had been balloon-pumped prior to surgery. The use of the intra-aortic balloon assist early in the postoperative patient showing low cardiac output state not only served to improve hemodynamics but also led to the preservation of the myocardium and ultimate improved survival. The balloon assist was initiated to control the ischemic states in patients with severe unstable angina. Used in association with nitroprusside and propranolol, this method produced marked improvement and reduction of pain in patients. Indications are that intra-aortic balloon counterpulsation at the present time is the safest and most predictable means of controlling acute ischemia in patients who are resistant to standard medical intervention.
Authors:
M J Buckley; W G Austen; H K Gold; R C Leinbach
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical instrumentation     Volume:  10     ISSN:  0090-6689     ISO Abbreviation:  Med Instrum     Publication Date:    1976 Sep-Oct
Date Detail:
Created Date:  1976-11-21     Completed Date:  1976-11-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0361136     Medline TA:  Med Instrum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  253-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Coronary Disease / prevention & control,  surgery*
Hospitals, General*
Humans
Massachusetts
Shock, Cardiogenic / surgery*

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


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