| Intra-aortic balloon counterpulsation for cardiogenic shock due to cardiac contusion in an elderly trauma patient. | |
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MedLine Citation:
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PMID: 12458071 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Blunt thoracic trauma may cause cardiac contusion and cardiogenic shock resistant to inotropic support. The use of intra-aortic balloon counterpulsation (IABCP) as a mechanical means of augmenting cardiac function following cardiac contusion is rare with case reports largely limited to its use in young trauma patients. We describe the case of a frail, 80-year-old woman who suffered cardiac contusion in a motor vehicle crash. She developed cardiogenic shock with electrocardiograph changes, elevated troponin T and severe global dysfunction on echocardiography. She was successfully managed with invasive monitoring, inotropic support and IABCP. This case provides support for aggressive resuscitation even in the very elderly as recovery from severe cardiac contusion may be possible. |
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Authors:
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D J Penney; P G Bannon; M J A Parr |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Resuscitation Volume: 55 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2002 Dec |
Date Detail:
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Created Date: 2002-11-29 Completed Date: 2003-06-24 Revised Date: 2009-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 337-40 Citation Subset: IM |
Affiliation:
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Intensive Care Medicine, Liverpool Hospital, Sydney, NSW, Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic Aged Aged, 80 and over Contusions / blood, etiology Echocardiography Female Heart Injuries / etiology, ultrasonography* Humans Intra-Aortic Balloon Pumping* Shock, Cardiogenic / etiology, therapy* Treatment Outcome Troponin / blood Ventricular Dysfunction / etiology, ultrasonography* Wounds, Nonpenetrating / complications* |
| Chemical | |
Reg. No./Substance:
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0/Troponin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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