Document Detail

Mechanical versus pharmacologic support for cardiogenic shock.
MedLine Citation:
PMID:  20049971     Owner:  NLM     Status:  MEDLINE    
Dynamic left ventricular outflow tract obstruction is a rare cause of cardiogenic shock after an acute myocardial infarction. A case is presented where inotropic support and an intra-aortic balloon pump aggravated the cardiac hemodynamics by this mechanism. The circulatory support provided by Impella 2.5 heart pump, in addition to discontinuation of inotropic support and intra-aortic balloon pump, allowed stabilization and successful percutaneous revascularization.
Gaurav Dhar; Neeraj Jolly
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  75     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-29     Completed Date:  2010-06-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  626-9     Citation Subset:  IM    
Department of Medicine, The University of Chicago Medical Center, Chicago, Illinois 60637, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary* / instrumentation
Cardiotonic Agents / adverse effects,  therapeutic use*
Combined Modality Therapy
Coronary Angiography
Heart-Assist Devices*
Hemodynamics / drug effects
Intra-Aortic Balloon Pumping* / adverse effects
Myocardial Infarction / complications,  drug therapy,  physiopathology,  therapy*
Shock, Cardiogenic / drug therapy,  etiology,  physiopathology,  therapy*
Treatment Outcome
Ventricular Outflow Obstruction / drug therapy,  etiology,  physiopathology,  therapy*
Reg. No./Substance:
0/Cardiotonic Agents

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

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