| Intra-aortic balloon counterpulsation in blunt cardiac injury. | |
MedLine Citation:
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PMID: 6854680 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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:
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R Orlando; A D Drezner |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of trauma Volume: 23 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 1983 May |
Date Detail:
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Created Date: 1983-07-08 Completed Date: 1983-07-08 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 424-7 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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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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