Document Detail

Intraaortic balloon counterpulsation with and without reperfusion for myocardial infarction shock.
MedLine Citation:
PMID:  6966191     Owner:  NLM     Status:  MEDLINE    
Forty patients were treated for cardiogenic shock secondary to acute myocardial infarction. Twenty-one (group 1) were treated with intraaortic balloon counterpulsation and 19 (group 2) were treated with counterpulsation and coronary artery bypass grafting. The groups were similar in age, incidence of previous infarction, initial hemodynamics and coronary anatomy. The in-hospital mortality between group 1 (52.4%) and group 2 (42.1%) was not significantly different. The difference in long-term mortality between group 1 and group 2 was substantially different (71.4% vs 47.3%). The subset of group 2 (n = 12) that underwent reperfusion and counterpulsation within 16 hours from the onset of symptoms of infarction had a lower mortality (25.0%) than the subset (n = 7) that underwent operation more than 18 hours after the onset of symptoms (71.4%). The long-term mortality in the subset of group 2 patients operated on within 16 hours after the onset of infarction was significantly different from that in group 1 (25.0% vs 71.4%, p less than 0.03). The data suggest that reperfusion with counterpulsation is more effective when carried out early. Patients who develop shock more than 18 hours after the onset of symptoms of infarction appear to benefit most if treated with counterpulsation alone.
M A DeWood; R N Notske; G R Hensley; J P Shields; W P O'Grady; J Spores; M Goldman; J H Ganji
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  61     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1980 Jun 
Date Detail:
Created Date:  1980-07-28     Completed Date:  1980-07-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1105-12     Citation Subset:  AIM; IM    
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MeSH Terms
Assisted Circulation*
Coronary Artery Bypass
Hemorrhage / complications
Intra-Aortic Balloon Pumping*
Middle Aged
Myocardial Infarction / complications*,  mortality,  therapy
Shock, Cardiogenic / etiology,  mortality,  therapy*

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