Document Detail

Percutaneous transluminal coronary angioplasty in acute cardiogenic shock: an overview of the current strategy with a case illustration.
MedLine Citation:
PMID:  1488675     Owner:  NLM     Status:  MEDLINE    
Cardiogenic shock from severe left ventricular dysfunction remains the most common cause of death in patients with acute myocardial infarction despite the advent of inotropic agents and intra-aortic balloon support. Lytic agents have not convincingly reduced mortality when administered in a shock scenario. Recently, observational studies have demonstrated survival benefit when mechanical revascularisation, particularly balloon angioplasty, is performed early in such patients. In this article, we report a case of an extensive anterior myocardial infarction with cardiogenic shock who underwent successful acute balloon angioplasty and prolonged intracoronary thrombolysis and use it to illustrate the current evolving interventional approach in the treatment of such a complex clinical syndrome.
K W Lau; A Tan; A Johan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  33     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-02-24     Completed Date:  1993-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  SINGAPORE    
Other Details:
Languages:  eng     Pagination:  620-2     Citation Subset:  IM    
Department of Cardiology, Singapore General Hospital.
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MeSH Terms
Acute Disease
Angioplasty, Transluminal, Percutaneous Coronary*
Middle Aged
Myocardial Infarction / complications
Shock, Cardiogenic / etiology,  therapy*

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