Document Detail


Intra-aortic balloon counterpulsation.
MedLine Citation:
PMID:  16635618     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intra-aortic balloon counterpulsation (IABP) is sometimes used in critically ill patients with cardiac disease. By increasing diastolic arterial pressure and decreasing systolic pressure, it reduces left ventricular afterload. IABP may be beneficial in subjects with cardiogenic shock, mechanical complications of myocardial infarction, intractable ventricular arrhythmias, or advanced heart failure or those who undergo "high-risk" surgical or percutaneous revascularization, but the evidence to support its use in these patient groups is largely observational. Contraindications to IABP include severe peripheral vascular disease as well as aortic regurgitation, dissection, or aneurysm. The potential benefits of IABP must be weighed against its possible complications (bleeding, systemic thromboembolism, limb ischemia, and, rarely, death).
Authors:
Jeffrey C Trost; L David Hillis
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Publication Detail:
Type:  Journal Article; Review     Date:  2006-03-20
Journal Detail:
Title:  The American journal of cardiology     Volume:  97     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-04-25     Completed Date:  2006-06-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1391-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Internal Medicine (Cardiology Division), Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. jtrost2@jhmi.edu
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MeSH Terms
Descriptor/Qualifier:
Animals
Anticoagulants / therapeutic use
Blood Pressure
Coronary Artery Bypass
Coronary Circulation
Heart Diseases / therapy*
Hematocrit
Hemoglobins / analysis
Heparin / therapeutic use
Humans
Intra-Aortic Balloon Pumping / adverse effects,  contraindications,  methods*
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Hemoglobins; 9005-49-6/Heparin

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


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