Document Detail


Intra-aortic balloon assistance in cardiogenic shock after myocardial infarction or cardiac surgery.
MedLine Citation:
PMID:  884010     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sixty-eight patients were referred for consideration of intra-aortic balloon assistance, 55 of whom were accepted. Thirty-one patients were in cardiogenic shock after myocardial infarction and the remaining 24 were cardiac surgical patients. Twenty-three of the myocardial infarct group were established on IABA and all 24 of the cardiac surgical patients. Of the 23 patients with cardiogenic shock after myocardial infarction, 19 showed initial haemodynamic improvement on intra-aortic balloon assistance and 5 (22%) survived to leave hospital. Of the 24 cardiac surgical patients, 15 could not be withdrawn from total cardiopulmonary bypass. With intra-aortic balloon assistance, 11 (73%) could be withdrawn from cardiopulmonary bypass and 5 (33%) were hospital and long-term survivors. The remaining 9 surgical patients were in cardiogenic shock in the early postoperative phase, though 5 showed initial haemodynamic improvement there was only one hospital survivor in this group. Intra-aortic balloon assistance was, therefore, of most value in patients dependent on cardiopulmonary bypass. The survival in patients with cardiogenic shock after myocardial infarction was marginally improved.
Authors:
G Jackson; P Cullum; A Pastellopoulos; A Macarthur; D Jewitt
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  39     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1977 Jun 
Date Detail:
Created Date:  1977-09-22     Completed Date:  1977-09-22     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  598-604     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Assisted Circulation*
Cardiac Surgical Procedures*
Cardiopulmonary Bypass
Female
Humans
Intra-Aortic Balloon Pumping* / adverse effects
Male
Middle Aged
Myocardial Infarction / complications*
Shock, Cardiogenic / etiology,  therapy*
Urination
Comments/Corrections

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


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