Document Detail

Mechanical circulatory assistance by intra-aortic balloon pumping for the treatment of cardiogenic shock.
MedLine Citation:
PMID:  621312     Owner:  NLM     Status:  MEDLINE    
Although the shock state due to acute myocardial infarction may be reversed by IABP in 80 per cent of patients, 55 to 65 per cent remain balloon-dependent. Therefore some attempt to correct the underlying anatomic abnormalities (reversible ischaemic areas and/or mechanical defects) appears necessary if these patients are to survive. With IABP catheterization studies performed in these critically-ill patients are well tolerated. Myocardial depression after cardiopulmonary by-pass is often related to subendocardial ischaemia. The combination of IABP and surgery has resulted in survival of approximately 50 per cent of patients in cardiogenic shock secondary either to a mechanical defect complicating myocardial infarction or to open-heart surgery.
J P Bourdarias; R Gourgon; J Bardet
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Intensive care medicine     Volume:  4     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  1978 Jan 
Date Detail:
Created Date:  1978-03-21     Completed Date:  1978-03-21     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  29-33     Citation Subset:  IM    
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MeSH Terms
Assisted Circulation*
Coronary Circulation
Intra-Aortic Balloon Pumping*
Myocardial Infarction / complications,  physiopathology,  surgery
Myocardial Revascularization
Myocardium / metabolism
Oxygen Consumption
Shock, Cardiogenic / etiology,  therapy*

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