Document Detail


Intra-aortic balloon counterpulsation in blunt cardiac injury.
MedLine Citation:
PMID:  6854680     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intra-aortic balloon counterpulsation (IABC) is a widely used form of mechanical circulatory assistance. We have successfully employed IABC in three patients with refractory cardiogenic shock secondary to cardiac contusion. All patients had multiple blunt injuries with cardiac contusion documented electrocardiographically, by CPK isoenzyme determinations, and clinically. IABC was instituted for hypotension refractory to vasoactive drugs and optimization of intravascular volume status. Cardiac output and blood pressure rose in all cases and fewer ventricular arrhythmias were noted. Discontinuation of IABC was possible within 48 hours in all cases with adequate cardiac performance. We conclude that IABC is a useful approach in the treatment of refractory cardiogenic shock associated with cardiac contusion.
Authors:
R Orlando; A D Drezner
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  23     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1983 May 
Date Detail:
Created Date:  1983-07-08     Completed Date:  1983-07-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  424-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Accidents
Accidents, Traffic
Adolescent
Adult
Aircraft
Arrhythmias, Cardiac / etiology,  physiopathology,  therapy
Assisted Circulation*
Blood Pressure
Creatine Kinase / analysis
Electrocardiography
Heart / physiopathology,  radiography
Heart Injuries / complications,  physiopathology,  therapy*
Heart Rate
Humans
Intra-Aortic Balloon Pumping*
Isoenzymes
Male
Middle Aged
Shock, Cardiogenic / etiology,  physiopathology,  therapy*
Chemical
Reg. No./Substance:
0/Isoenzymes; EC 2.7.3.2/Creatine Kinase

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


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